Uinta Urgent Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19196.0204 Issued in WY

Legal business name

UINTA URGENT CARE

Practice address

75 Yellow Creek Rd
Suite 202
Evanston, WY 82930

Phone

(307) 789-6111

NPI assigned

Dec 6, 2006

Last updated

Jul 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Anne Begalla, CFNPNPI 1174563241

Title

President

Phone

(307) 789-6111

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Anne Begalla, CFNP

  • Nurse Practitioner
  • Evanston, WY
  • NPI 1174563241
  Authorized official Same address or phone

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1023177375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1382",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829311382",
            "telephone_number": "307-789-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 YELLOW CREEK RD",
            "address_2": "SUITE 202",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "82930",
            "telephone_number": "307-789-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UINTA URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "BEGALLA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-789-6111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "19196.0204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118122000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Uinta Spine Align (Davidson Chiropractic Clinic Evanston)
• David Underwood, PEER SPECIALIST
• University of Utah Adult Services (EVANSTON REGIONAL HOSPITAL, CLINIC-Interventional Cardiology)
• University of Utah Adult Services (EVANSTON REGIONAL HOSPITAL-Emergency Physicians)
• Brennen Urrutia
• Valley View Emergency Physicians LLC

• Family Nurse Practitioner in Evanston, WY
• Providers in Evanston, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.