Active NPI
Rebecca Dellanira Vom Dorp
- Nursing Home Administrator
- Springville, UT
National Provider Identifier
1134749419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- 2019-ALII-UT000839
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2019-ALII-UT000839 | UT | MD | Nursing 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
- Utah County Medical Associates, LLC
- Utah Valley Hearing and Balance LLC
- Utah Valley Optometric Physicians (Drs. Caywood & Winward)
- Valley Obstetrics and Gynecology, P.C. (Springville Group)
- Village Pantry #9 (Art City Pharmacy)
- William David Voss, DO
- Wal-Mart Stores, Inc (Vision Center 30-3208)
- Walgreen Co (Walgreens #09974)
- Walker Physical Therapy, Inc.
- Lisa Dawn Walker, ATC
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.