Individual provider Active NPI

Christine Platt, NP

  • Nurse Practitioner
  • Provo, UT
National Provider Identifier
1104235605
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
62460804405 Issued in UT
Practice address
5314 N 250 W
Suite 220
Provo, UT 84604-5691
Phone
(801) 225-8484
Fax
(801) 225-6170
NPI assigned
Aug 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 62460804405 UT Primary

Addresses

Primary practice location

5314 N 250 W
Suite 220
Provo, UT 84604-5691

Mailing address

5314 N 250 W
Suite 220
Provo, UT 84604-5691
Phone (801) 225-8484

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
I20150423001256 UT Practitioner - Nurse Practitioner 9638497696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5314 N 250
Suite 220
Provo, UT 84604-7746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62460804405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richard W. Parkinson Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christine.platt.2@17226.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1104235605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 N 250 W",
            "address_2": "SUITE 220",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045691",
            "telephone_number": "801-225-8484",
            "fax_number": "801-225-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 N 250 W",
            "address_2": "SUITE 220",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045691",
            "telephone_number": "801-225-8484",
            "fax_number": "801-225-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATT",
        "first_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "62460804405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.