Individual provider Active NPI

Katie Bates, MSN, NP-C

  • Family Nurse Practitioner
  • Spanish Fork, UT
National Provider Identifier
1043815749
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7727050-4405 Issued in UT
Practice address
336 W 100 S
Spanish Fork, UT 84660-5881
Phone
(801) 798-7301
NPI assigned
Dec 1, 2020
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7727050-4405 UT Primary

Addresses

Primary practice location

336 W 100 S
Spanish Fork, UT 84660-5881

Mailing address

325 W Center St
Spanish Fork, UT 84660-2060
Phone (801) 798-7301

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
I20201228001198 UT Practitioner - Nurse Practitioner 8123431723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canyon View Medical Group LLCGroup PAC ID 9739084351, 30 clinicians

Practice addresses (Care Compare)

336 W 100
Spanish Fork, UT 84660-5881
Phone (801) 798-7301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7727050-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon View Medical Group LLC Family Medicine CurrentSince Dec 8, 2020 Accepting new patients
Canyon View Medical Group LLC Family Medicine CurrentSince Dec 8, 2020 Accepting new patients
Canyon View Medical Group LLC Current Accepting new patients
Canyon View Medical Group LLC Family Medicine Past Accepting new patients

Locations

1429 S 1600 W
Mapleton, UT 84664
Phone (801) 489-8464

94 W Main St
Santaquin, UT 84655
Phone (801) 754-3122

325 W Center St
Spanish Fork, UT 84660
Phone (801) 798-7301

336 W 100 S
Spanish Fork, UT 84660
Phone (385) 203-0246

5 E 400 N
Springville, UT 84663
Phone (801) 489-8464

55 E 400 N
Springville, UT 84663
Phone (801) 489-8464

Interoperability endpoints

  • Direct secure messaging: katie.batesfnp.p1@direct.canyonviewmed.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1043815749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W CENTER ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602060",
            "telephone_number": "801-798-7301",
            "fax_number": "801-798-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 W 100 S",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846605881",
            "telephone_number": "801-798-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "KATIE",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7727050-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

Verify at the official NPI Registry.