Individual provider Active NPI

Tumu Jeremy Asuao

  • Nurse Practitioner
  • Draper, UT
National Provider Identifier
1124697214
Registry record updated May 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8311348-4405 Issued in UT
Practice address
12176 S 1000 E Ste 4
Draper, UT 84020-3221
Phone
(800) 640-3451
NPI assigned
Jun 22, 2021
Last updated
May 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8311348-4405 UT Primary

Addresses

Primary practice location

12176 S 1000 E Ste 4
Draper, UT 84020-3221

Mailing address

1092 S 1420 E
Provo, UT 84606-5834

Other practice location 1

55 S 100 E
Payson, UT 84651-2201
Phone (801) 518-2646

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
I20230814003885 UT Practitioner - Nurse Practitioner 1052773652 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zeal Medical PLLCGroup PAC ID 5698163210, 6 clinicians
Grab Healthcare LLCGroup PAC ID 8123439148, 12 clinicians

Practice addresses (Care Compare)

Payson, UT 84651
Phone (385) 236-4234

406 W S Jordan Pkwy
Suite 450
South Jordan, UT 84095-3946
Phone (801) 919-3008

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer J Hardenbrook MD PC CurrentSince Jul 2, 2023 Accepting new patients
Hidden Valley Family Medicine Inc CurrentSince Mar 12, 2024 Accepting new patients
Zeal Medical PLLC CurrentSince Oct 1, 2023 Accepting new patients
Instamobile Care LLC CurrentSince Sep 19, 2023 Accepting new patients
Grab Healthcare, LLC CurrentSince Mar 7, 2025 Accepting new patients
Honestar Wound Care PLLC PastSince Feb 1, 2024 Accepting new patients

Locations

12176 S 1000 E
Draper, UT 84020
Phone (801) 523-3023

12176 S 1000 E
Ste 4
Draper, UT 84020
Phone (801) 572-3750

55 S 100 E
Payson, UT 84651
Phone (385) 236-4234

406 W South Jordan Pkwy
Ste 450
South Jordan, UT 84095
Phone (801) 561-8398

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778889600000",
    "number": "1124697214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 S 1420 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846065834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12176 S 1000 E STE 4",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840203221",
            "telephone_number": "800-640-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 S 100 E",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "UT",
            "postal_code": "846512201",
            "country_code": "US",
            "telephone_number": "801-518-2646",
            "fax_number": "385-324-6610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASUAO",
        "first_name": "TUMU",
        "middle_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "8311348-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.