Dakota Taylor
Individual provider Active NPI Family Nurse Practitioner · Lehi, UT
NPI 1154088441 · NPPES record last updated May 2, 2022
Key facts
- NPI
- 1154088441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 10219115-4405 (UT)
- Practice address
- 3333 N Digital Dr Ste 400
Lehi, UT 84043-6695 - Phone
- (385) 455-9299
- NPI assigned
- Nov 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Westbroek Family Medicine PLLC
Elite Healthcare Providers LLC
Ryan K Anderson D P M P C
Mountain West Podiatry LLC
Practice addresses (Care Compare)
Centerville, UT 84014
Phone (801) 447-1615
Lehi, UT 84043
Phone (801) 609-6034
380 S Main St
Centerville, UT 84014-2266
Phone (801) 447-1615
Hospital & facility affiliations
- Elite Home Health LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220922000209 | UT | Practitioner - Nurse Practitioner | 5698150910 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10219115-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Healthcare Providers LLC | Multi-Specialty | Current |
Accepting new patients |
| Mountain West Podiatry LLC | Multi-Specialty | Current |
Accepting new patients |
| Ryan K Anderson D P M P C | Multi-Specialty | Current |
Accepting new patients |
| Westbroek Family Medicine PLLC | Multi-Specialty | Current |
Accepting new patients |
| Elevation Hospice of Utah, LLC | Past |
Accepting new patients | |
| Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | Past | Accepting new patients |
Locations
596 W 750 S
Ste 200
Bountiful, UT 84010
Phone (801) 292-4425
380 S Main St
Centerville, UT 84014
Phone (530) 869-1444
11762 S State St
Ste 340
Draper, UT 84020
Phone (801) 562-9294
3333 N Digital Dr
Ste 400C
Lehi, UT 84043
Phone (801) 609-6034
3333 N Digital Dr
Ste 400
Lehi, UT 84043
Phone (385) 455-9299
434 W Ascension Way
Ste 425
Salt Lake City, UT 84123
596 W 750 S
Ste 300
Woods Cross, UT 84010
Phone (801) 673-7661
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 10219115-4405 | UT | Yes |
Addresses
Primary practice location
3333 N Digital Dr Ste 400
Lehi, UT 84043-6695
Mailing address
234 W 380 S
American Fork, UT 84003-2976
Other providers in Lehi, UT
- Nicole Tapia
- Leilani Taukeiaho
- Ieli Charlie Tautuaa
- Alesha Lynn Taylor
- Brady Taylor
- Jason Taylor
- Kaleb Taylor
- Karly Taylor
- Katie Lee Taylor
- Pamela R Taylor
All providers in Lehi, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.