Organization Active NPI

Kameo Health Wellness and Beauty PLLC

  • Family Nurse Practitioner
  • West Haven, UT
National Provider Identifier
1043092927
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
KAMEO HEALTH WELLNESS AND BEAUTY PLLC
Practice address
3490 W 3300 S Apt 7
West Haven, UT 84401-9232
Phone
(801) 301-0182
Fax
(801) 877-0795
NPI assigned
Oct 16, 2023
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Mark Duwayne Deis, NPNPI 1821752676
Title
Owner
Phone
(801) 726-3738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

3490 W 3300 S Apt 7
West Haven, UT 84401-9232

Mailing address

3490 W 3300 S Apt 7
West Haven, UT 84401-9232
Phone (801) 301-0182

Other practice location 1

1114 Logan Ave Ste 101
Cheyenne, WY 82001-5216
Phone (801) 301-0182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240207002122 UT Part B Supplier - Clinic/Group Practice 3476996323 Receives reassigned benefits from 2 practitioners
Practice locations: West Haven, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2297915Kameo Health, Wellness & Beauty3490 W 3300 S, Suite 7, West Haven, UT 84401Certificate of waiverJan 23, 2028
53D2333341Kameo Health Wellness & Beauty1114 Logan Ave Suite 101, Cheyenne, WY 82001Certificate of waiverNov 3, 2027

National Provider Directory

National Provider Directory

Locations

3490 W 3300 S
West Haven, UT 84401

3490 W 3300 S
Unit 2
West Haven, UT 84401
Phone (801) 301-0182

3490 W 3300 S
Unit 7
West Haven, UT 84401
Phone (801) 301-0182

1114 Logan Ave
Ste 101
Cheyenne, WY 82001
Phone (801) 301-0182

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1043092927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 W 3300 S APT 7",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844019232",
            "telephone_number": "801-301-0182",
            "fax_number": "801-877-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 W 3300 S APT 7",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844019232",
            "telephone_number": "801-301-0182",
            "fax_number": "801-877-0795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1114 Logan Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820015216",
            "country_code": "US",
            "telephone_number": "801-301-0182",
            "fax_number": "801-877-0795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAMEO HEALTH WELLNESS AND BEAUTY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "DEIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DUWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-726-3738",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.