| Diane M Kendall, APRN, BC | |
|
1403 E Sego Lily Dr Ste 100, Sandy, UT 84092-4350 | |
| (801) 265-2212 | |
| Not Available |
| Full Name | Diane M Kendall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 1403 E Sego Lily Dr Ste 100, Sandy, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659397545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 212106-4405 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Practice Medical Clinic, Llc | 5991769614 | 2 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Advanced Practice Medical Clinic, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548302268 PECOS PAC ID: 5991769614 Enrollment ID: O20041112000815 |
| Entity Name | Jordan Ridge Family Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770509754 PECOS PAC ID: 8820091473 Enrollment ID: O20060821000255 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Entity Name | Optum Medical Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306275227 PECOS PAC ID: 7214168111 Enrollment ID: O20201221001430 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane M Kendall, APRN, BC Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 954-7672 | Diane M Kendall, APRN, BC 1403 E Sego Lily Dr Ste 100, Sandy, UT 84092-4350 Ph: (801) 265-2212 |
Angela Marie Miller, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11562 S Hickory Valley Dr, Sandy, UT 84092 Phone: 435-901-1995 |
Aimee Jensen, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1443 E Trevino Rd, Sandy, UT 84092 Phone: 801-792-3404 |
Theresa Brooke Sligting, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9600 S 1300 E Ste 220, Sandy, UT 84094 Phone: 801-571-0009 |
Benjamin Zachariah Rollins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 476 E Mingo Park Dr, Sandy, UT 84070 Phone: 801-554-4784 |
Miriam Dawn Hughes, CNM, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, Sandy, UT 84094 Phone: 801-501-2160 |
Dylan Roy Richmond, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7984 S 1300 E, Sandy, UT 84094 Phone: 916-412-6333 |
Jennifer Lyn Aragon, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9980 S 300 W Ste 200, Sandy, UT 84070 Phone: 385-495-4151 Fax: 844-596-0409 |