Diabetes Health Management PLLC

Primary specialty

Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X

Legal business name

DIABETES HEALTH MANAGEMENT PLLC

Practice address

9425 S Union SQ # 103
Sandy, UT 84070-3402

Phone

(202) 505-2007

NPI assigned

Nov 29, 2010

Organization subpart

No

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

Authorized official

Name

Rodolfo Martinez-Ferrate

Title

Manager

Phone

(202) 505-2007

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Jo Davis, D.O.

  • Family Medicine Physician
  • SLC, UT
  • NPI 1487820320
  NPD

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740582618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 E DRAPER PKWY # 404",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209356",
            "telephone_number": "202-505-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 S UNION SQ # 103",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703402",
            "telephone_number": "202-505-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES HEALTH MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-FERRATE",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-505-2007"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G7005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyana Desouza Kay, CMHC
• Angela Despain
• Emily Kay Dettenmaier
• Cheleste Marie Deveraux, DEM
• Jennae Devereaux, MSWI
• Diagonal House LLC
• Marcela Diaz-Rodriguez
• Lauren Alyse Diaz, ED.S.
• Paul J Diehl, MD, PC
• Kara Elayne Diersing Clapp, PHD NP-C

• Sleep Medicine (Family Medicine) Physician in Sandy, UT
• Providers in Sandy, UT by specialty
• Sleep Medicine (Family Medicine) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.