Active NPI
Ivie Wittwer
- Nurse Practitioner
- Orem, UT
National Provider Identifier
1053234997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 12050190-4405
- Practice address
- 750 W 800 N
Orem, UT 84057-3660 - Phone
- (801) 714-6000
- NPI assigned
- Jul 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 12050190-4405 | UT | Primary |
Addresses
Primary practice location
750 W 800 N
Orem, UT 84057-3660
Mailing address
1594 E Blackhawk Dr
Pleasant Grove, UT 84062-3320
Phone (435) 619-9942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1053234997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1594 E BLACKHAWK DR",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840623320",
"telephone_number": "435-619-9942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 W 800 N",
"city": "OREM",
"state": "UT",
"postal_code": "840573660",
"telephone_number": "801-714-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTWER",
"first_name": "IVIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-30",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "12050190-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.