Specialty Nursing Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2004-HHA-844 Issued in UT

Legal business name

SPECIALTY NURSING SERVICES

Practice address

620 S 9500 E
Huntsville, UT 84317

Phone

(801) 732-2178

Fax

(801) 732-2173

NPI assigned

May 23, 2005

Last updated

Feb 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tawshawni Butcher

Title

Offlce Manager

Phone

(801) 732-2168

Specialties & licenses 2

Addresses

Other names 2

• Specialty Nursing Services INC Former legal business name
• Specialty Nursing Services Home Health LLC Other name

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144223249. Details of each certification follow.

• CCN 467110 Home health agency · Active · Details

Home health agency certification: CCN 467110

Legal name

SPECIALTY NURSING SERVICES

Doing business as

SPECIALTY NURSING SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 18, 1997

Last certification

Sep 18, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jun 8, 2022 in UT

Enrollment address

620 S 9500 E
Huntsville, UT 84317-9748

Listed as

Specialty Nursing ServicesCCN 467110 · All quality measures

Ownership

Proprietary

Certified

Feb 18, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Change-of-ownership history 2

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.

• Deseret Day Allen, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Layton, UT
  • NPI 1891369732
  NPD (past)

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Brittney Andersen, APRN

  • Nurse Practitioner
  • Draper, UT
  • NPI 1174831408

  Home health agency

  Care Compare affiliation
• Amy Jo Fowers, FNP

  • Family Nurse Practitioner
  • West Haven, UT
  • NPI 1407432933

  Home health agency

  Care Compare affiliation
• Alyxandria Gonzales

  • Family Nurse Practitioner
  • West Haven, UT
  • NPI 1659053924

  Home health agency

  Care Compare affiliation
• Gary F Holland, MD

  • Family Medicine Physician
  • Kaysville, UT
  • NPI 1780780189

  Home health agency

  Care Compare affiliation
• Andrea Marie Martinez, NP-C

  • Family Nurse Practitioner
  • Murray, UT
  • NPI 1417427626

  Home health agency

  Care Compare affiliation
• Tyler Mark Nixon, DO

  • Internal Medicine Physician
  • Layton, UT
  • NPI 1669639985

  Home health agency

  Care Compare affiliation
• Adam Russell

  • Physician Assistant
  • Henderson, NV
  • NPI 1063247583

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1144223249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S 9500 E",
            "city": "HUNTSVILLE",
            "state": "UT",
            "postal_code": "84317",
            "telephone_number": "801-732-2178",
            "fax_number": "801-732-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S 9500 E",
            "city": "HUNTSVILLE",
            "state": "UT",
            "postal_code": "84317",
            "telephone_number": "801-732-2178",
            "fax_number": "801-732-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY NURSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "TAWSHAWNI",
        "authorized_official_title_or_position": "OFFLCE MANAGER",
        "authorized_official_telephone_number": "801-732-2168"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": "2004-HHA-844",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "UT",
            "license": "46D0925016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Nursing Services INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Specialty Nursing Services Home Health LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paula Richardson, M.ED. CCC-SLP
• Jill Brielle Robinson, P.T.
• Carol Rojahn, RPH
• Betsy Seamons, CSW
• Clifford G. Sorensen, DDS
• Sara Vigh, M.D.
• Waypoint Ascent, LLC
• Brenda Whitehead

• Home Health Agency in Huntsville, UT
• Providers in Huntsville, UT by specialty
• Home Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.