Annie Elizabeth Stapp, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

10595657-3904 Issued in UT

Practice address

3726 E Campus Dr Ste H
Eagle Mountain, UT 84005-4514

Phone

(801) 642-4196

NPI assigned

Dec 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1154836997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 E CAMPUS DR STE H",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054514",
            "telephone_number": "801-642-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 E CAMPUS DR STE H",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054514",
            "telephone_number": "801-642-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPP",
        "first_name": "ANNIE",
        "middle_name": "ELIZABETH",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "10595657-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahsha T Spackman, WHNP-BC
• Lauren Spencer
• Sharon K Sperry, RN
• Stages Family Therapy PLLC
• Michael Jarom Staheli, DNP, FNP-C, APRN
• Jordache Starr, BCBA, LBA
• Abigail Katrina Staten
• Aubri Ann Stclair, ABOC
• Dennis Earl Stevens, LCSW
• Kyle Stewart

• Marriage & Family Therapist in Eagle Mountain, UT
• Providers in Eagle Mountain, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.