Individual provider Active NPI

Anjanette Horman, APRN

  • Family Nurse Practitioner
  • Millcreek, UT
National Provider Identifier
1215528971
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9424414-4405 Issued in UT
Practice address
2505 E 3300 S Ste 102
Millcreek, UT 84109-2763
Phone
(385) 333-6000
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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 9424414-4405 UT Primary

Addresses

Primary practice location

2505 E 3300 S Ste 102
Millcreek, UT 84109-2763

Mailing address

10673 S Whirlaway LN
Sandy, UT 84092-4614
Phone (801) 834-2996

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
I20210723000683 UT Practitioner - Nurse Practitioner 0042613390 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9424414-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Medical, Inc. CurrentSince May 27, 2021 Accepting new patients
Advanced Spine and Pain PLLC CurrentSince Apr 1, 2023 Accepting new patients
The Smart Clinic PastSince Jan 29, 2023 Accepting new patients

Locations

96 E Kimballs Ln
Ste 408
Draper, UT 84020
Phone (801) 572-1186

96 E Kimballs Ln
Ste 304
Draper, UT 84020
Phone (801) 571-9433

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1215528971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10673 S WHIRLAWAY LN",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924614",
            "telephone_number": "801-834-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 E 3300 S STE 102",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841092763",
            "telephone_number": "385-333-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORMAN",
        "first_name": "ANJANETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9424414-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millcreek, UT

Sources for this page

Verify at the official NPI Registry.