Individual provider Active NPI

Ashley Saunders

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1003680117
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9524932-4405 Issued in UT
Practice address
1055 N 500 W BLDG a
Provo, UT 84604-3305
Phone
(801) 812-5033
Fax
(801) 812-5034
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9524932-4405 UT Primary

Addresses

Primary practice location

1055 N 500 W BLDG a
Provo, UT 84604-3305

Mailing address

1055 N 500 W
Attn Credentialing
Provo, UT 84604-3305
Phone (801) 812-5033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206001971 UT Practitioner - Nurse Practitioner 4981053667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

1055 N 500
Provo, UT 84604-3305
Phone (801) 812-5033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9524932-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince Jan 2, 2024 Accepting new patients
Revere Health PC CurrentSince Jan 2, 2024 Accepting new patients

Locations

3714 E Campus Dr
Ste 102
Eagle Mountain, UT 84005
Phone (385) 203-1365

1055 N 500 W
Bldg A
Provo, UT 84604
Phone (801) 418-0800

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

264 W 100 S
Santaquin, UT 84655
Phone (385) 203-1250

1930 W Sunset Blvd
Ste 94
St George, UT 84770
Phone (435) 375-0140

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJJDDD/Endpoint/AJJDDD
  • Direct secure messaging: ashleysaunders@cuccu.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDAGDD/Endpoint/GDAGDD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1003680117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "address_2": "ATTN CREDENTIALING",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-812-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 500 W BLDG A",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-812-5033",
            "fax_number": "801-812-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9524932-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.