Individual provider Active NPI

Shanna Foote, FNP

  • Family Nurse Practitioner
  • St George, UT
National Provider Identifier
1194266148
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7968495-4405 Issued in UT
Practice address
1930 W Sunset Blvd Ste 94
St George, UT 84770-6792
Phone
(385) 203-1250
Fax
(801) 812-5034
NPI assigned
Mar 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 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 7968495-4405 UT Primary

Addresses

Primary practice location

1930 W Sunset Blvd Ste 94
St George, UT 84770-6792

Mailing address

1055 N 500 W
Provo, UT 84604-3305
Phone (801) 354-8225

Other practice location 1

264 W 100 S
Santaquin, UT 84655-8012
Phone (385) 203-1365

Other practice location 2

3714 E Campus Dr Ste 102
Eagle Mountain, UT 84005-5451
Phone (385) 203-1365

Other practice location 3

1055 N 500 W Bldg A
Provo, UT 84604-3305
Phone (385) 203-1250

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
I20260324002149 UT Practitioner - Nurse Practitioner 8123502580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

1930 W Sunset Blvd
Suite 94
St George, UT 84770-6792
Phone (435) 628-9393

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7968495-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince Apr 6, 2026 Accepting new patients
Revere Health PC PastSince Apr 6, 2026 Accepting new patients

Locations

3714 E Campus Dr
Ste 102
Eagle Mountain, UT 84005
Phone (385) 203-1365

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1055 N 500 W
Bldg A
Provo, UT 84604
Phone (801) 418-0800

264 W 100 S
Santaquin, UT 84655
Phone (385) 203-1250

1930 W Sunset Blvd
Ste 94
St George, UT 84770
Phone (435) 375-0140

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • Direct secure messaging: shanna.foote@486851367337988.direct.elationemr.com

Organizations & group practices 2

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": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1194266148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 W SUNSET BLVD STE 94",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706792",
            "telephone_number": "385-203-1250",
            "fax_number": "801-812-5034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "264 W 100 S",
            "address_purpose": "LOCATION",
            "city": "Santaquin",
            "state": "UT",
            "postal_code": "846558012",
            "country_code": "US",
            "telephone_number": "385-203-1365",
            "fax_number": "801-812-5034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3714 E Campus Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Eagle Mountain",
            "state": "UT",
            "postal_code": "840055451",
            "country_code": "US",
            "telephone_number": "385-203-1365",
            "fax_number": "801-812-5034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 N 500 W Bldg A",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846043305",
            "country_code": "US",
            "telephone_number": "385-203-1250",
            "fax_number": "801-812-5034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOOTE",
        "first_name": "SHANNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7968495-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.