Heather B Allred, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5536681-1206 Issued in UT

Practice address

517 W 100 N Ste 103
Providence, UT 84332-9824

Phone

(435) 554-8442

Fax

(435) 500-9167

NPI assigned

Jul 9, 2006

Last updated

Mar 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, WY, ID3 enrollments

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 3

Specialty

Physician Assistant

Education

University of Utah School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LP Derm LLCGroup PAC ID 9537533856, 3 clinicians

Draper Dermatology PCGroup PAC ID 4688928526, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015

Merit-based Incentive Payment System (MIPS)

Final score

74.28 of 100Reported as group

Quality

48.55

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: heather.allred.1@16971.direct.athenahealth.com

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.

• LP Derm LLC

  dba Lone Pine Dermatology

  • Dermatology Physician
  • Providence, UT
  • NPI 1538875786

  ID

  Medicare reassignment Care Compare group
• Draper Dermatology, P.C.

  • Dermatology Physician
  • Evanston, WY
  • NPI 1942832159
  Medicare reassignment Care Compare group
• Draper Dermatology, P.C.

  • Dermatology Physician
  • South Jordan, UT
  • NPI 1093224818
  Medicare reassignment NPD
• Rocky Mountain Dermatology Inc

  • Dermatology Physician
  • North Logan, UT
  • NPI 1154527372
  Medicare reassignment
• South Lincoln Hospital District

  dba South Lincoln Medical Center

  • Rural Acute Care Hospital
  • Kemmerer, WY
  • NPI 1033221569
  Medicare reassignment
• South Lincoln Hospital District

  dba South Lincioln Medical Clinic

  • Rural Health Clinic/Center
  • Kemmerer, WY
  • NPI 1386716710
  NPD
• South Lincoln Hospital District

  dba South Lincoln Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Kemmerer, WY
  • NPI 1881834927
  NPD
• Alpine Management and Consulting

  dba Alpine Orthopaedic Specialists LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Logan, UT
  • NPI 1427184449
  NPD (past)
• South Lincoln Hospital District

  dba South Lincoln Medical Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Kemmerer, WY
  • NPI 1861027369
  NPD (past)
• South Lincoln Hospital District

  dba South Lincoln Medical Center

  • Critical Access Hospital
  • Kemmerer, WY
  • NPI 1972743011
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services Inc

  dba Intermountain Health Logan Regional Hospital

  • General Acute Care Hospital
  • Logan, UT
  • NPI 1831108497
  Care Compare affiliation

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1104859149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 N 1800 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843418312",
            "telephone_number": "801-201-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W 100 N STE 103",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329824",
            "telephone_number": "435-554-8442",
            "fax_number": "435-500-9167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Onyx St",
            "address_purpose": "LOCATION",
            "city": "Kemmerer",
            "state": "WY",
            "postal_code": "831013214",
            "country_code": "US",
            "telephone_number": "307-877-4401",
            "fax_number": "307-877-3236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 W South Jordan Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840959060",
            "country_code": "US",
            "telephone_number": "801-390-4536",
            "fax_number": "801-987-8467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "HEATHER",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "5536681-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanton Cannon Allen, DDS
• Talon Allen, DC
• Allencrane, LLP (ABC Pediatric Dentistry & Orthodontics)
• Ty Bracken Aller
• Gregory J Allred, DO
• Darren V Anderson, M.D.
• Kent W Anderson, PHD
• Angel Home Hospice LLC
• Rachel Archibald, RBT
• Maeci Hicken Armstrong, RDN

• Physician Assistant in Providence, UT
• Providers in Providence, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.