Individual provider Active NPI

Emily Lailhengue, NP

  • Nurse Practitioner
  • American Fork, UT
National Provider Identifier
1215450648
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10744317-4405 Issued in UT
Practice address
1159 E 200 N Ste 300
American Fork, UT 84003-2037
Phone
(801) 357-7530
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN82463 NM
Family Nurse Practitioner 363LF0000X 10744317-4405 UT
Nurse Practitioner 363L00000X 10744317-4405 UT Primary

Addresses

Primary practice location

1159 E 200 N Ste 300
American Fork, UT 84003-2037

Mailing address

2965 W 3500 S
West Valley City, UT 84119-3602
Phone (801) 965-3600

Other practice location 1

1012 E Jordan River Blvd
Midvale, UT 84047-4865
Phone (801) 565-0800

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
I20200310001061 UT Practitioner - Nurse Practitioner 4082042817 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granger Medical Clinic PCGroup PAC ID 3476465691, 192 clinicians

Practice addresses (Care Compare)

2965 W 3500
West Valley City, UT 84119-3602
Phone (801) 965-3600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN82463NMMDSchool Registered Nurse
10744317-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Regional Hospitalists LLC CurrentSince Jan 31, 2020 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Jan 31, 2020 Accepting new patients
Granger Medical Clinic, PC CurrentSince Dec 31, 2023 Accepting new patients
Granger Medical Specialists LLC CurrentSince May 1, 2021 Accepting new patients
Granger Medical Specialists, LLC CurrentSince May 1, 2021 Accepting new patients
Granger Medical Clinic PC Past Accepting new patients

Locations

3000 N Triumph Blvd
Ste 340
Lehi, UT 84043
Phone (435) 833-9180

1205 E Bonner Way
Millcreek, UT 84117
Phone (801) 262-2908

12391 S 4000 W
Riverton, UT 84096
Phone (801) 302-1700

2730 E 3300 S
Salt Lake Cty, UT 84109
Phone (801) 487-0896

995 W Levoy Dr
Taylorsville, UT 84123

7181 S Campus View Dr
Ste 200
West Jordan, UT 84084
Phone (801) 965-3505

7181 S Campus View Dr
West Jordan, UT 84084
Phone (801) 965-3505

2965 W 3500 S
West Valley City, UT 84119
Phone (801) 965-3505

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

3725 W 4100 S
West Valley City, UT 84120
Phone (801) 965-3545

Networks

  • UT PPO
  • UT PPO D-SNP

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1215450648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 W 3500 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193602",
            "telephone_number": "801-965-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 E 200 N STE 300",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032037",
            "telephone_number": "801-357-7530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 E Jordan River Blvd",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840474865",
            "country_code": "US",
            "telephone_number": "801-565-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAILHENGUE",
        "first_name": "EMILY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "RN82463",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10744317-4405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "10744317-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.