Diane M. Kendall, APRN, BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

212106-4405 Issued in UT

Practice address

1403 E Sego Lily Dr Ste 100
Sandy, UT 84092-4350

Phone

(801) 265-2212

NPI assigned

Jul 14, 2006

Last updated

Jun 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Practice Medical Clinic, LLCGroup PAC ID 5991769614, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: diane.kendall.1@16023.direct.athenahealth.com
• Direct secure messaging: dkendall113927@westdirect.optum.com
• FHIR API: https://api.platform.athenahealth.com/16023/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Practice Medical Clinic, LLC

  dba Brand Paxton Reynolds

  • Primary Care Clinic/Center
  • Tooele, UT
  • NPI 1548302268
  Medicare reassignment Care Compare group NPD
• Ihc Health Services Inc

  dba IMED Physicians Billing

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880

  Nurse Practitioner

  Medicare reassignment NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment NPD
• Jordan Ridge Family Medicine LLC

  • Family Medicine Physician
  • West Valley City, UT
  • NPI 1306275227
  Medicare reassignment NPD
• Jordan Ridge Family Medicine LLC

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1770509754
  Medicare reassignment NPD
• Jordan Ridge Family Medicine LLC

  dba Mobile Unit-Idaho

  • Mobile Radiology Clinic/Center
  • Boise, ID
  • NPI 1578277950
  Medicare reassignment NPD
• Ihc Health Services Inc

  dba Alta View InstaCare

  • Emergency Medicine Physician
  • Sandy, UT
  • NPI 1578693750
  NPD
• Ihc Health Services Inc

  dba Park City Hospital Physicians

  • Multi-Specialty Clinic/Center
  • Park City, UT
  • NPI 1972744357
  NPD
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Jordan Ridge Family Medicine LLC

  • Primary Care Clinic/Center
  • Sandy, UT
  • NPI 1962166710
  NPD
• Optum Medical Group PA

  dba Optum

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1063143907
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1659397545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-954-7672",
            "fax_number": "801-501-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 E SEGO LILY DR STE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924350",
            "telephone_number": "801-265-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9720 S 1300 E",
            "address_2": "Ste 240",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840943712",
            "country_code": "US",
            "telephone_number": "801-501-2025",
            "fax_number": "801-501-4099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "DIANE",
        "middle_name": "M.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "212106-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kenneth R Dibble DDS (Lone Peak Dental Care)
• Goarik Keshishian
• Christian Jay Kettering
• Key Speech Therapy LLC

• Nurse Practitioner in Sandy, UT
• Providers in Sandy, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.