Individual provider Active NPI

Miranda Buttars, APRN

  • Family Nurse Practitioner
  • Brigham City, UT
National Provider Identifier
1144913344
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10196162-4405 Issued in UT
Practice address
1010 S Medical Dr
Brigham City, UT 84302-3050
Phone
(435) 310-5800
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10196162-4405 UT Primary

Addresses

Primary practice location

1010 S Medical Dr
Brigham City, UT 84302-3050

Mailing address

5870 W 8800 N
Tremonton, UT 84337-8620
Phone (435) 230-5199

Other practice location 1

5870 W 8800 N
Tremonton, UT 84337-8620
Phone (435) 230-5199

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230717000668 UT Practitioner - Nurse Practitioner 1153781695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Medical Utah LLC 8 clinicians

Practice addresses (Care Compare)

258 S Main St
Suite 210
Logan, UT 84321-5768
Phone (435) 383-6120

Hospital & facility affiliations

  • Ascend Home Health Home health agency, Logan, UT, CCN 467228
  • Ascend Hospice Hospice, Logan, UT, CCN 461577
  • Brigham City Community Hospital Hospital, Brigham City, UT, CCN 460017
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Wyoming, LLC CurrentSince Mar 9, 2024 Accepting new patients
Atlas Medical Utah LLC CurrentSince Jun 12, 2023 Accepting new patients

Locations

1010 S Medical Dr
Brigham City, UT 84302
Phone (435) 310-5800

332 W 300 N
Hyde Park, UT 84318
Phone (435) 557-0505

258 S Main St
Ste 210
Logan, UT 84321
Phone (435) 383-6120

560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600

Interoperability endpoints

  • Direct secure messaging: miranda.buttars@371240051802116.direct.elationemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1144913344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 W 8800 N",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843378620",
            "telephone_number": "435-230-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S MEDICAL DR",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023050",
            "telephone_number": "435-310-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5870 W 8800 N",
            "address_purpose": "LOCATION",
            "city": "Tremonton",
            "state": "UT",
            "postal_code": "843378620",
            "country_code": "US",
            "telephone_number": "435-230-5199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTTARS",
        "first_name": "MIRANDA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10196162-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

Verify at the official NPI Registry.