Active NPI
Casey Neeley, FNP
- Family Nurse Practitioner
- Lindon, UT
National Provider Identifier
1073161311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11441440-4405
- Practice address
- 275 W 200 N
Lindon, UT 84042-5009 - Phone
- (801) 796-1333
- NPI assigned
- Aug 29, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 8270522-3102 | UT | |
| Family Nurse Practitioner | 363LF0000X | 11441440-4405 | UT | Primary |
Addresses
Primary practice location
275 W 200 N
Lindon, UT 84042-5009
Mailing address
405 E 1600 N
Orem, UT 84097-2318
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cneeley@premierfamily.net | Direct |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11441440-4405 | UT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1073161311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 E 1600 N",
"city": "OREM",
"state": "UT",
"postal_code": "840972318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W 200 N",
"city": "LINDON",
"state": "UT",
"postal_code": "840425009",
"telephone_number": "801-796-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELEY",
"first_name": "CASEY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "8270522-3102",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "11441440-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cneeley@premierfamily.net",
"affiliation": "Y",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "275 W 200 N",
"city": "Lindon",
"state": "UT",
"country_code": "US",
"postal_code": "840425009",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lindon, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.