Ellen Brown, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Springville, UT
NPI 1104575950 · NPPES record last updated Mar 21, 2022
Key facts
- NPI
- 1104575950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 7280610-4405 (UT)
- Practice address
- 677 S 950 W
Springville, UT 84663-5960 - Phone
- (435) 621-9335
- NPI assigned
- Mar 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220805001180 | UT | Practitioner - Nurse Practitioner | 2466834528 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7280610-4405 | UT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Regional Hospitalists LLC | Current |
Accepting new patients | |
| Utah Regional Hospitalists LLC | Current |
Accepting new patients |
Locations
3000 N Triumph Blvd
Lehi, UT 84043
Phone (385) 345-3000
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 7280610-4405 | UT | Yes |
Addresses
Primary practice location
677 S 950 W
Springville, UT 84663-5960
Mailing address
677 S 950 W
Springville, UT 84663-5960
Phone (435) 621-9335
Other providers in Springville, UT
- Sierra Branham
- Breathe Easy, Inc.
- Brian F Trapnell DMD PC
- Christopher Bringhurst
- Alex Broughton
- Rachel Brown
- Hailey Brunelle
- Doris Brunson
- Michael Bryson
- Karena Nicole Burns
All providers in Springville, UT · Adult Health Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.