Active NPI
Lisa O'Donnal, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Richfield, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 364770-4405
- Practice address
- 236 S 100 E
Richfield, UT 84701-2644 - Phone
- (435) 896-9584
- NPI assigned
- Feb 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 364770-4405 | UT | Primary |
Addresses
Primary practice location
236 S 100 E
Richfield, UT 84701-2644
Mailing address
152 N 400 W
Ephraim, UT 84627-5549
Phone (435) 283-8400
Other practice location 1
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
Hospital & facility affiliations
- Intermountain Health Heber Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 364770-4405 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Behavioral Health Special Service District | Current | Accepting new patients | |
| Wasatch Behavioral Health Special Service District | Current | Accepting new patients | |
| Central Utah Counseling Center | Past | Accepting new patients |
Locations
55 S 5th E
Heber City, UT 84032
Phone (435) 654-2700
750 N Freedom Blvd
Provo, UT 84601
Phone (801) 373-0639
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Provo, UT
- NPI 1356357115
-
- Counselor
- Ephraim, UT
- NPI 1639185424
-
- Clinical Medical Laboratory
- Orem, UT
- NPI 1669257556
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Heber City, UT
- NPI 1316055205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1124584867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 N 400 W",
"city": "EPHRAIM",
"state": "UT",
"postal_code": "846275549",
"telephone_number": "435-283-8400",
"fax_number": "435-283-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 S 100 E",
"city": "RICHFIELD",
"state": "UT",
"postal_code": "847012644",
"telephone_number": "435-896-9584"
}
],
"practiceLocations": [
{
"address_1": "750 N Freedom Blvd",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846011677",
"country_code": "US",
"telephone_number": "801-373-4760",
"fax_number": "801-373-0639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'DONNAL",
"first_name": "LISA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-19",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "UT",
"license": "364770-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.