Individual provider Active NPI

Dianne Gwen Bjarnson, L.D.E.M.

  • Midwife
  • Pleasant Grove, UT
National Provider Identifier
1811271000
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
6326927-3400 Issued in UT
Practice address
1243 Hillside Dr
Pleasant Grove, UT 84062-2056
Phone
(801) 785-9272
Fax
(801) 642-4425
NPI assigned
Oct 5, 2011
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 6326927-3400 UT Primary

Addresses

Primary practice location

1243 Hillside Dr
Pleasant Grove, UT 84062-2056

Mailing address

1243 Hillside Dr
Pleasant Grove, UT 84062-2056
Phone (801) 785-9272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6326927-3400UTMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1811271000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 HILLSIDE DR",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622056",
            "telephone_number": "801-785-9272",
            "fax_number": "801-642-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 HILLSIDE DR",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622056",
            "telephone_number": "801-785-9272",
            "fax_number": "801-642-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJARNSON",
        "first_name": "DIANNE",
        "middle_name": "GWEN",
        "credential": "L.D.E.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "UT",
            "license": "6326927-3400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.