Individual provider Active NPI

Karty Dormera

  • Primary Care Nurse Practitioner
  • West Jordan, UT
National Provider Identifier
1033970322
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
76349974405 Issued in UT
Practice address
3895 W 7800 S Ste 100
West Jordan, UT 84088-5616
Phone
(801) 280-7774
Fax
(801) 748-2790
NPI assigned
Jan 23, 2024
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 76349974405 UT Primary

Addresses

Primary practice location

3895 W 7800 S Ste 100
West Jordan, UT 84088-5616

Mailing address

421 S 1100 W
Orem, UT 84058-5831
Phone (801) 623-2909

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
I20240606003075 UT Practitioner - Nurse Practitioner 8022550920 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
76349974405UTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Mar 20, 2025 Accepting new patients
Valley Obstetrics and Gynecology, PC Current Accepting new patients
Jordan Landing Family Medicine LLC CurrentSince Mar 24, 2024 Accepting new patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Mar 20, 2025 Accepting new patients
Valley Obstetrics and Gynecology, PC Past Accepting new patients

Locations

700 W 800 N
Ste 200
Orem, UT 84057
Phone (801) 229-2229

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

667 E 500 N
Ste 200
Vineyard, UT 84059
Phone (801) 669-5758

3895 W 7800 S
Ste 100
West Jordan, UT 84088
Phone (801) 280-7774

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1033970322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S 1100 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585831",
            "telephone_number": "801-623-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 W 7800 S STE 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885616",
            "telephone_number": "801-280-7774",
            "fax_number": "801-748-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMERA",
        "first_name": "KARTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "76349974405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.