Individual provider Active NPI

Michelle Cozzens

  • Family Nurse Practitioner
  • Riverton, UT
National Provider Identifier
1184536989
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5896724-4405 Issued in UT
Practice address
3409 W 12600 S Ste 230
Riverton, UT 84065-7270
Phone
(801) 252-6116
Fax
(801) 508-2787
NPI assigned
Sep 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 5896724-4405 UT Primary

Addresses

Primary practice location

3409 W 12600 S Ste 230
Riverton, UT 84065-7270

Mailing address

3409 W 12600 S Ste 230
Riverton, UT 84065-7270
Phone (801) 636-7169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1184536989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 W 12600 S STE 230",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657270",
            "telephone_number": "801-636-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 W 12600 S STE 230",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657270",
            "telephone_number": "801-252-6116",
            "fax_number": "801-508-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZZENS",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5896724-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.