Active NPI
Miranda Buttars, APRN
- Family Nurse Practitioner
- Brigham City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10196162-4405
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
258 S Main St
Suite 210
Logan, UT 84321-5768
Phone (435) 383-6120
Hospital & facility affiliations
- Ascend Home Health
- Ascend Hospice
- Brigham City Community Hospital
- St Luke'S Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Wyoming, LLC | Current | Accepting new patients | |
| Atlas Medical Utah LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1932957495
UT
-
- Hospitalist Physician
- Casper, WY
- NPI 1982982708
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brigham City, UT
- NPI 1245282227
Hospital
-
- Home Health Agency
- Logan, UT
- NPI 1295999555
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.