Annie Elizabeth Ayre – Registered Dietitian

Key facts

NPI: 1205602018
Entity type: Individual (NPI type 1)
Primary specialty: Registered Dietitian 133V00000X
Practice address: 3741 W 12600 S Ste 480
Riverton, UT 84065-7215
Phone: (801) 285-2033
NPI assigned: Dec 1, 2023
Sex: Female
Sole proprietor: No

Organizations & group practices 7

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.

Ihc Health Services Inc Multi-Specialty Clinic/Center · Murray, UT · NPI 1629260880

Medicare reassignment NPD UT
Ihc Health Services Inc Multi-Specialty Clinic/Center · Provo, UT · NPI 1669422101

NPD
Ihc Health Services, Inc. Psychiatry Physician · St George, UT · NPI 1023843844

NPD
Ihc Health Services, Inc. General Acute Care Hospital · Provo, UT · NPI 1114025491

NPD
David Mun MD PC Physical Medicine & Rehabilitation Physician · New York, NY · NPI 1780816058

NPD (past)
Fay Nutrition Registered Dietitian · San Francisco, CA · NPI 1104334465

NPD (past) DIETITIAN, REGISTERED
Nourish, Inc. Registered Dietitian · Austin, TX · NPI 1558097824

NPD (past) DIETITIAN, REGISTERED

Medicare participation

Medicare fee-for-service enrollment: Enrolled in UT

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240416001114	UT	Practitioner - Registered Dietitian Or Nutrition Professional	0446699045	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Ihc Health Services Inc		Current since Mar 3, 2024	Accepting new patients
Ihc Health Services Inc		Current	Accepting new patients
Ihc Health Services, Inc.		Current since Apr 1, 2024	Accepting new patients
Ihc Health Services, Inc.		Current since Mar 3, 2024	Accepting new patients
Fay Nutrition	Dietitian, Registered	Past	Accepting new patients
Nourish, Inc.	Dietitian, Registered	Past	Accepting new patients
David Mun MD PC		Past	Accepting new patients

Locations

3741 W 12600 S
Ste 480
Riverton, UT 84065
Phone (801) 285-2037

8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Dietitian	133V00000X			Yes

Addresses

Primary practice location

3741 W 12600 S Ste 480
Riverton, UT 84065-7215

Mailing address

2194 E Wilson Ave
Salt Lake City, UT 84108-3022
Phone (801) 691-8360

Other providers in Riverton, UT

Marcellus Saka Assiago, MD
Mikaela Ann Atkins, BSN, RN, CNRN
Jonathan J Atzet, MD
Axial-Im
Lauren Nicole Pabst Ayala, DPT
B. Charles Pugh D.D.S., P.C.
Hannah Preeth Backman, DNP
Ellois Wilson Bailey, DNP, APRN, PMHNP-BC
Shara Bailey
Shawn Bailey

All providers in Riverton, UT · Registered Dietitian in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.