Individual provider Active NPI

Karsen Delgado, A.P.R.N.

  • Nurse Practitioner
  • Lehi, UT
National Provider Identifier
1043465966
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3085392-4405 Issued in UT
Practice address
3315 W Mayflower Way Ste 4
Lehi, UT 84043-2927
Phone
(801) 224-3031
Fax
(801) 890-3924
NPI assigned
Nov 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 3085392-4405 UT
Nurse Practitioner 363L00000X 3085392-4405 UT Primary

Addresses

Primary practice location

3315 W Mayflower Way Ste 4
Lehi, UT 84043-2927

Mailing address

3315 W Mayflower Way Ste 4
Lehi, UT 84043-2927
Phone (801) 224-3031

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
I20230503000628 UT Order and Referring Only - Nurse Practitioner 7315246857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Body Balanced Care PLLC CurrentSince Sep 27, 2020 Accepting new patients
Mountainlands Community Health Center, Inc Past Accepting new patients
Mountainlands Community Health Center, Inc. Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1043465966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 W MAYFLOWER WAY STE 4",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432927",
            "telephone_number": "801-224-3031",
            "fax_number": "801-890-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 W MAYFLOWER WAY STE 4",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432927",
            "telephone_number": "801-224-3031",
            "fax_number": "801-890-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "KARSEN",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "UT",
            "license": "3085392-4405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "3085392-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.