Organization Active NPI

Teya Wilson DNP

  • Acute Care Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1134884208
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
TEYA WILSON DNP
Practice address
5089 S 900 E Ste 100
Salt Lake City, UT 84117-5731
Phone
(801) 743-0700
Fax
(801) 743-0701
NPI assigned
Nov 3, 2021
Last updated
Nov 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Teya Chilton Wilson, DNPNPI 1063186872
Title
DNP/Owner
Phone
(801) 721-2548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NU Primary

Addresses

Primary practice location

5089 S 900 E Ste 100
Salt Lake City, UT 84117-5731

Mailing address

2561 S 1560 W Ste B
Woods Cross, UT 84087-2361
Phone (801) 505-0821

Other identifiers 1

IdentifierTypeStateIssuer
5292638-4405OtherUTLICENSE

National Provider Directory

National Provider Directory

Locations

2561 S 1560 W
Ste B
Woods Cross, UT 84087

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1134884208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 S 1560 W STE B",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840872361",
            "telephone_number": "801-505-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5089 S 900 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175731",
            "telephone_number": "801-743-0700",
            "fax_number": "801-743-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEYA WILSON DNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TEYA",
        "authorized_official_middle_name": "CHILTON",
        "authorized_official_title_or_position": "DNP/OWNER",
        "authorized_official_telephone_number": "801-721-2548",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5292638-4405",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.