NPIMap

Individual provider Active NPI

Adrienne Natasha Terry, PA-C

  • Physician Assistant
  • Lehi, UT
National Provider Identifier
1134648520
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10513037-1206 Issued in UT
Practice address
641 West 1290 North
Lehi, UT 84043-2327
Phone
(801) 796-2678
Fax
(801) 877-5583
NPI assigned
Sep 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10513037-1206 UT Primary

Addresses

Primary practice location

641 West 1290 North
Lehi, UT 84043-2327

Mailing address

641 W 1290 N
Lehi, UT 84043-2327
Phone (801) 796-2678

Other practice location 1

50 E 9000 S, Ste 1
Aquatic and Rehab Center
Sandy, UT 84070-2201
Phone (801) 796-2678

Other practice location 2

3725 W 4100 S
West Valley, UT 84120-5530
Phone (801) 965-3600

Other names 1

  • Adrienne Natasha Sirstins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171101002220 UT Practitioner - Physician Assistant 3971879263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Utah School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitality Health of Utah LLCGroup PAC ID 9638510225, 9 clinicians

Practice addresses (Care Compare)

641 W 1290
Lehi, UT 84043-2327
Phone (801) 796-2678

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: adrienne.sirstins@235818542825476.direct.elationemr.com
  • Direct secure messaging: adrienne.terry@736943059828740.direct.elationemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1505606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1134648520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 W 1290 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432327",
            "telephone_number": "801-796-2678",
            "fax_number": "801-877-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 WEST 1290 NORTH",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432327",
            "telephone_number": "801-796-2678",
            "fax_number": "801-877-5583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 E 9000 S, Ste 1",
            "address_2": "Aquatic and Rehab Center",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840702201",
            "country_code": "US",
            "telephone_number": "801-796-2678",
            "fax_number": "801-877-5583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3725 W 4100 S",
            "address_purpose": "LOCATION",
            "city": "West Valley",
            "state": "UT",
            "postal_code": "841205530",
            "country_code": "US",
            "telephone_number": "801-965-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "ADRIENNE",
        "middle_name": "NATASHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "10513037-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "SIRSTINS",
            "middle_name": "NATASHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.