Individual provider Active NPI

Rebecca Dellanira Vom Dorp

  • Nursing Home Administrator
  • Springville, UT
National Provider Identifier
1134749419
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
2019-ALII-UT000839 Issued in UT
Practice address
321 E 800 S
Springville, UT 84663-2450
Phone
(801) 489-3344
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X 2019-ALII-UT000839 UT Primary

Addresses

Primary practice location

321 E 800 S
Springville, UT 84663-2450

Mailing address

321 E 800 S
Springville, UT 84663-2450
Phone (801) 489-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2019-ALII-UT000839UTMDNursing Home Administrator

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1134749419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E 800 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632450",
            "telephone_number": "801-489-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E 800 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632450",
            "telephone_number": "801-489-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOM DORP",
        "first_name": "REBECCA",
        "middle_name": "DELLANIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "UT",
            "license": "2019-ALII-UT000839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.