Individual provider Active NPI

Tonya Wright, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Valley City, UT
National Provider Identifier
1053162263
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7680589 Issued in UT
Practice address
4052 W Pioneer Pkwy
West Valley City, UT 84120-2062
Phone
(801) 386-1250
NPI assigned
Mar 27, 2024
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7680589 UT Primary

Addresses

Primary practice location

4052 W Pioneer Pkwy
West Valley City, UT 84120-2062

Mailing address

4052 W Pioneer Pkwy
West Valley City, UT 84120-2062
Phone (801) 386-1250

Other practice location 1

4052 W 3390 S
Ste 105
West Valley City, UT 84120
Phone (801) 964-3111

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
I20240502002697 UT Practitioner - Nurse Practitioner 7416397732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Mobile Medicine LLCGroup PAC ID 1254865363, 6 clinicians

Practice addresses (Care Compare)

623 E Fort Union Blvd
Suite 105
Midvale, UT 84047-5529
Phone (385) 412-1660

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7680589UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Mobile Medicine LLC Psychiatric/Mental Health CurrentSince Sep 23, 2024 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Life Stone Group, LLC Past Accepting new patients

Locations

623 E Fort Union Blvd
Ste 105
Midvale, UT 84047
Phone (385) 412-1660

6975 S Union Park Ctr
Ste 600
Midvale, UT 84047
Phone (385) 231-1680

Networks

  • UT PPO D-SNP

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, 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": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1053162263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 W PIONEER PKWY",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202062",
            "telephone_number": "801-386-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 W PIONEER PKWY",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202062",
            "telephone_number": "801-386-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4052 W 3390 S",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "West Valley City",
            "state": "UT",
            "postal_code": "84120",
            "country_code": "US",
            "telephone_number": "801-964-3111",
            "fax_number": "801-964-3752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TONYA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-05-10",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "7680589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

Verify at the official NPI Registry.