Individual provider Active NPI

Rhonda Lee, PA-C

  • Medical Physician Assistant
  • Ogden, UT
National Provider Identifier
1174583793
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
99-376245-1206 Issued in UT
Practice address
2540 Washington Blvd
#122
Ogden, UT 84401-3122
Phone
(801) 626-3670
Fax
(801) 626-3646
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 99-376245-1206 UT Primary

Addresses

Primary practice location

2540 Washington Blvd
#122
Ogden, UT 84401-3122

Mailing address

2540 Washington Blvd
#122
Ogden, UT 84401-3122
Phone (801) 626-3670

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
I20050414001329 UT Practitioner - Physician Assistant 5890732317 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
99-376245-1206UTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health Clinics of Utah Current Accepting new patients
Total Concept Health Care Past Accepting new patients

Locations

2540 Washington Blvd
Ste 122
Ogden, UT 84401
Phone (801) 626-3670

168 N 1950 W
Ste 201
Slc, UT 84116
Phone (801) 213-2537

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174583793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 WASHINGTON BLVD",
            "address_2": "#122",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013122",
            "telephone_number": "801-626-3670",
            "fax_number": "801-626-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 WASHINGTON BLVD",
            "address_2": "#122",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013122",
            "telephone_number": "801-626-3670",
            "fax_number": "801-626-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RHONDA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "99-376245-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.