Individual provider Active NPI

Chalea Ann Rowberry, FNP-C

  • Family Nurse Practitioner
  • American Fork, UT
National Provider Identifier
1164028536
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8164237-4405 Issued in UT
Practice address
1248 E 90 N Ste 300
American Fork, UT 84003-2956
Phone
(801) 756-9635
Fax
(801) 216-8357
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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 8164237-4405 UT Primary

Addresses

Primary practice location

1248 E 90 N Ste 300
American Fork, UT 84003-2956

Mailing address

722 E 2200 N
Provo, UT 84604-1753
Phone (801) 318-3491

Other practice location 1

722 E 2200 N
Provo, UT 84604-1753
Phone (801) 318-3491

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
I20240828002242 UT Practitioner - Nurse Practitioner 3678012143 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8164237-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology CurrentSince Aug 13, 2024 Accepting new patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Aug 13, 2024 Accepting new patients
Valley Obstetrics and Gynecology, PC Current Accepting new patients
Valley Obstetrics and Gynecology, PC Past Accepting new patients

Locations

1248 E 90 N
Ste 300
American Fork, UT 84003
Phone (801) 756-1157

3000 N Triumph Blvd
Ste 210
Lehi, UT 84043
Phone (801) 374-1801

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

118 E Thrive Dr
Ste 200
Saratoga Springs, UT 84045
Phone (801) 756-1577

295 S 1470 E
Ste 200
St George, UT 84790
Phone (435) 628-1662

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.702

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1164028536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 E 2200 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041753",
            "telephone_number": "801-318-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 E 90 N STE 300",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032956",
            "telephone_number": "801-756-9635",
            "fax_number": "801-216-8357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 E 2200 N",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846041753",
            "country_code": "US",
            "telephone_number": "801-318-3491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWBERRY",
        "first_name": "CHALEA",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8164237-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.