NPIMap

Individual provider Active NPI

Cassidy Warren, APRN

  • Family Nurse Practitioner
  • Lehi, UT
National Provider Identifier
1093503336
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11794922-4405 Issued in UT
Practice address
641 West 1290 North
Lehi, UT 84043-2327
Phone
(801) 796-2678
Fax
(801) 877-5583
NPI assigned
Apr 28, 2025
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 11794922-4405 UT Primary

Addresses

Primary practice location

641 West 1290 North
Lehi, UT 84043-2327

Mailing address

641 W 1290 N
Lehi, UT 84043-2327
Phone (801) 796-2678

Other practice location 1

50 E 9000 S, Ste 1
Aquatic and Rehab Center
Sandy, UT 84070-2201
Phone (801) 796-2678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250701000698 UT Practitioner - Nurse Practitioner 6901319151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitality Health of Utah LLCGroup PAC ID 9638510225, 9 clinicians

Practice addresses (Care Compare)

641 W 1290
Lehi, UT 84043-2327
Phone (801) 796-2678

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Health of Utah LLC Family CurrentSince May 19, 2025 Accepting new patients

Locations

50 E 9000 S
Ste 1
Sandy, UT 84070
Phone (801) 796-2678

Interoperability endpoints

  • Direct secure messaging: cassidy.warren@736943059828740.direct.elationemr.com

Organizations & group practices 1

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 9

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1093503336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 W 1290 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432327",
            "telephone_number": "801-796-2678",
            "fax_number": "801-877-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 WEST 1290 NORTH",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432327",
            "telephone_number": "801-796-2678",
            "fax_number": "801-877-5583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 E 9000 S, Ste 1",
            "address_2": "Aquatic and Rehab Center",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840702201",
            "country_code": "US",
            "telephone_number": "801-796-2678",
            "fax_number": "801-877-5583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "CASSIDY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11794922-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.