Individual provider Active NPI

Lauren Lightfield, AGACNP

  • Acute Care Nurse Practitioner
  • Bountiful, UT
National Provider Identifier
1104296623
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95332574405 Issued in UT
Practice address
458 N 500 W
Bountiful, UT 84010
Phone
(801) 292-9355
Fax
(801) 296-8050
NPI assigned
Sep 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95332574405 UT Primary

Addresses

Primary practice location

458 N 500 W
Bountiful, UT 84010

Mailing address

458 N 500 W
Bountiful, UT 84010-6948
Phone (801) 292-9355

Other practice location 1

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121

Other names 1

  • Lauren Floyd Former name

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
I20151201003315 UT Practitioner - Nurse Practitioner 1355641002 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Rehabilitation Physicians LLCGroup PAC ID 7214334614, 44 clinicians

Practice addresses (Care Compare)

2750 N Digital Dr
Lehi, UT 84043-6651
Phone (801) 215-9309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95332574405UTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Acuity Care Services CurrentSince Nov 5, 2015 Accepting new patients
Post Acute Rehabilitation Physicians LLC CurrentSince Sep 1, 2025 Accepting new patients
Ma Bo Inc Current Accepting new patients
Fast Doc LLC CurrentSince Apr 6, 2024 Accepting new patients
University of Utah Acuity Care Services Current Accepting new patients
Ma Bo Inc CurrentSince Nov 3, 2023 Accepting new patients
Fast Lab Technologies LLC PastSince Dec 1, 2024 Accepting new patients

Locations

215 Water St
Brooklyn, NY 11201
Phone (917) 503-9404

2750 N Digital Dr
Lehi, UT 84043
Phone (385) 374-5600

1201 E 4500 S
Millcreek, UT 84117
Phone (801) 261-3664

466 E 500 S
Ste 200
Salt Lake Cty, UT 84111
Phone (801) 485-5055

175 N Medical Dr
Slc, UT 84112
Phone (801) 581-6908

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

Organizations & group practices 7

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": "1443225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1104296623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 N 500 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106948",
            "telephone_number": "801-292-9355",
            "fax_number": "801-296-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 N 500 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "84010",
            "telephone_number": "801-292-9355",
            "fax_number": "801-296-8050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 N Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320001",
            "country_code": "US",
            "telephone_number": "801-581-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHTFIELD",
        "first_name": "LAUREN",
        "name_prefix": "Miss",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-26",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "95332574405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "FLOYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.