Diane Soderholm Clavel, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

R098281-4 Issued in MN

Practice address

2550 University Ave W
Suite 189S
St. Paul, MN 55114-5802

Phone

(651) 332-7470

Fax

(651) 332-7490

NPI assigned

Nov 1, 2007

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

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1982883369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W",
            "address_2": "SUITE 189S",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551145802",
            "telephone_number": "651-332-7470",
            "fax_number": "651-332-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W",
            "address_2": "SUITE 189S",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551145802",
            "telephone_number": "651-332-7470",
            "fax_number": "651-332-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVEL",
        "first_name": "DIANE",
        "middle_name": "SODERHOLM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "R098281-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Clarkson
• Wanda Classen
• Barb Claudon, RN
• Lucy Anne Claugherty
• Kathryn Claus, M.A.
• Carmela Jurado Claypool, PT
• Stephen Robert Claypool, MD
• Candyce Clayton, PH.D., M.S., L.AC.
• Jessica Rose Clayton
• Clear Care LLC

• Primary Care Nurse Practitioner in St. Paul, MN
• Providers in St. Paul, MN by specialty
• Primary Care Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.