Organization Active NPI

Diabetes RN LLC

  • Diabetes Educator Registered Nurse
  • Salt Lake City, UT
National Provider Identifier
1952092991
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
Legal business name
DIABETES RN LLC
Doing business as
DiabetesRN
Practice address
1966 S 200 E
Salt Lake City, UT 84115-2403
Phone
(801) 550-8282
Fax
(800) 964-2082
NPI assigned
May 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Steven Sine
Title
Owner
Phone
(385) 242-6729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WD0400X Primary

Addresses

Primary practice location

1966 S 200 E
Salt Lake City, UT 84115-2403

Mailing address

755 E 11TH Ave
Salt Lake City, UT 84103-3641
Phone (801) 550-8282

Other practice location 1

1389 Center Dr
Park City, UT 84098-7659
Phone (801) 550-8282

Other names 1

  • DiabetesRN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240229004113 UT Part B Supplier - Clinic/Group Practice 1254776198 Receives reassigned benefits from 4 practitioners
Practice locations: Park City, UT; Salt Lake City, UT

National Provider Directory

National Provider Directory

Locations

1389 Center Dr
Park City, UT 84098
Phone (435) 565-1816

357 S 200 E
#W104
Salt Lake City, UT 84111
Phone (385) 242-6729

2333 W North Temple
Slc, UT 84116
Phone (801) 539-8852

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1952092991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E 11TH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033641",
            "telephone_number": "801-550-8282",
            "fax_number": "800-964-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 S 200 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152403",
            "telephone_number": "801-550-8282",
            "fax_number": "800-964-2082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1389 Center Dr",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840987659",
            "country_code": "US",
            "telephone_number": "801-550-8282",
            "fax_number": "800-964-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIABETES RN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "SINE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-242-6729"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DiabetesRN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.