Individual provider Active NPI

Joanne H Abegglen, N.P.

  • Family Nurse Practitioner
  • Washington, UT
National Provider Identifier
1104909878
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4810573-4405 Issued in UT
Practice address
471 E Kays Cir
Washington, UT 84780-2162
Phone
(435) 705-4311
Fax
(435) 213-4186
NPI assigned
Oct 24, 2006
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 4810573-4405 UT Primary

Addresses

Primary practice location

471 E Kays Cir
Washington, UT 84780-2162

Mailing address

471 E Kays Cir
Washington, UT 84780-2162
Phone (435) 705-4311

Other identifiers 1

IdentifierTypeStateIssuer
4000073609OtherPTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address joanne.abegglen@direct.imail.org
Direct Messaging Address joanne.abegglen@direct.imail.org

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
I20040601001137 UT Practitioner - Nurse Practitioner 9133101579 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4810573-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert D. Hillstead, Inc PastSince Nov 14, 2007 Accepting new patients
Elite Anesthesia Associates Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1104909878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E KAYS CIR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847802162",
            "telephone_number": "435-705-4311",
            "fax_number": "435-213-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 E KAYS CIR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847802162",
            "telephone_number": "435-705-4311",
            "fax_number": "435-213-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEGGLEN",
        "first_name": "JOANNE",
        "middle_name": "H",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "4810573-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "4000073609",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joanne.abegglen@direct.imail.org",
            "affiliation": "N",
            "address_1": "471 E Kays Cir",
            "city": "Washington",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847802162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joanne.abegglen@direct.imail.org",
            "affiliation": "N",
            "address_1": "471 E Kays Cir",
            "city": "Washington",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847802162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, UT

Sources for this page

Verify at the official NPI Registry.