Individual provider Active NPI

Shelby Vaught

  • Social Worker
  • Price, UT
National Provider Identifier
1144825274
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
12855136-3502 Issued in UT
Practice address
575 E 100 S
Price, UT 84501
Phone
(435) 637-2358
NPI assigned
Dec 4, 2020
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 12855136-3502 UT Primary

Addresses

Primary practice location

575 E 100 S
Price, UT 84501

Mailing address

PO Box 867
Price, UT 84501-0867
Phone (435) 637-7200

Other practice location 1

125 S Main St
Helper, UT 84526-1535
Phone (435) 888-4411 ext. 40

Other practice location 2

305 Center St
East Carbon, UT 84520-7726
Phone (435) 888-4411 ext. 40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620000323 UT Practitioner - Clinical Social Worker 1254874134 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12855136-3502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Community Behavioral Health Inc CurrentSince May 15, 2024 Accepting new patients
Four Corners Community Behavioral Health, Inc. CurrentSince May 15, 2024 Accepting new patients

Locations

575 E 1st S
Price, UT 84501
Phone (435) 637-2358

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1144825274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845010867",
            "telephone_number": "435-637-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E 100 S",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "84501",
            "telephone_number": "435-637-2358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S Main St",
            "address_purpose": "LOCATION",
            "city": "Helper",
            "state": "UT",
            "postal_code": "845261535",
            "country_code": "US",
            "telephone_number": "435-888-4411 x40",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Center St",
            "address_purpose": "LOCATION",
            "city": "East Carbon",
            "state": "UT",
            "postal_code": "845207726",
            "country_code": "US",
            "telephone_number": "435-888-4411 x40",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHT",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "12855136-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

Verify at the official NPI Registry.