Allyx Bowthorpe, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

7212306-4405 Issued in UT

Practice address

434 E 5350 S Ste D
Ogden, UT 84405

Phone

(801) 827-9100

Fax

(801) 827-9110

NPI assigned

Jan 30, 2015

Last updated

Aug 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Mountain Dermatology IncGroup PAC ID 6002992906, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Rocky Mountain Dermatology Inc

  • Dermatology Physician
  • North Logan, UT
  • NPI 1154527372
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534550400000",
    "number": "1033509989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 E 5350 S STE D",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844055417",
            "telephone_number": "801-827-9100",
            "fax_number": "801-827-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 E 5350 S STE D",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-827-9100",
            "fax_number": "801-827-9110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Medical Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "843023276",
            "country_code": "US",
            "telephone_number": "801-827-9100",
            "fax_number": "801-827-9110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWTHORPE",
        "first_name": "ALLYX",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2018-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "7212306-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mateo Boughton
• Christopher Bouwhuis, M.S., L.M.F.T.
• Joseph L Bowcutt, PA-C
• Craig Stephen Bowden, PA-C
• Ivana Bowler, RN
• Richard A Boyce, CRNA
• Brooke Boyd
• Kimberly A Boyer, PA-C
• Tobie Boyko
• Kaydee Boyle, RN

• Nurse Practitioner in Ogden, UT
• Providers in Ogden, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.