Active NPI
Natalie Evans Dahle, PA-S
- Physician Assistant
- West Valley City, UT
National Provider Identifier
1053627737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3725 W 4100 S
West Valley City, UT 84120-5530 - Phone
- (801) 965-3600
- Fax
- (801) 965-3740
- NPI assigned
- Aug 19, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3725 W 4100 S
West Valley City, UT 84120-5530
Mailing address
3725 W 4100 S
West Valley City, UT 84120-5530
Phone (801) 965-3600
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granger Medical Clinic PC | Past | Accepting new patients | |
| Granger Medical Specialists LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- West Valley City, UT
- NPI 1184657041
-
- Clinic/Center
- West Valley City, UT
- NPI 1376159368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1053627737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 W 4100 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841205530",
"telephone_number": "801-965-3600",
"fax_number": "801-965-3740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 W 4100 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841205530",
"telephone_number": "801-965-3600",
"fax_number": "801-965-3740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLE",
"first_name": "NATALIE",
"middle_name": "EVANS",
"name_prefix": "Miss",
"credential": "PA-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.