Active NPI
Kameo Health Wellness and Beauty PLLC
- Family Nurse Practitioner
- West Haven, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Duwayne Deis, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2297915 | Kameo Health, Wellness & Beauty | Certificate of waiver | Jan 23, 2028 |
| 53D2333341 | Kameo Health Wellness & Beauty | Certificate of waiver | Nov 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.