Diane D Heubusch, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

2146284402

Practice address

1220 East 3900 South
Suite 3E
Salt Lake City, UT 84124

Phone

(801) 685-7188

Fax

(801) 685-8116

NPI assigned

Jun 2, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

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

• Mt. Olympus Obstetrics and Gynecology

  • Obstetrics Physician
  • Salt Lake City, UT
  • NPI 1619190899
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1962449306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 EAST 3900 SOUTH",
            "address_2": "SUITE 3E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-685-7188",
            "fax_number": "801-685-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 EAST 3900 SOUTH",
            "address_2": "SUITE 3E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-685-7188",
            "fax_number": "801-685-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUBUSCH",
        "first_name": "DIANE",
        "middle_name": "D",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": "2146284402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leeanne Merin Hess, LCSW
• Rachel Hess, MD
• Lucille R Hesse, LCSW
• Toni M Hesse
• Matthew Hesterman
• Gregory Joseph Heuer, ATC
• Cara C Heuser, MD
• Joan B Heusser, RD
• Hilary Anne Hewes, MD
• Nicole Kristine Hewett, MD

• Advanced Practice Midwife in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Advanced Practice Midwife in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.