Individual provider Active NPI

Desiree England, FNP-C

  • Family Nurse Practitioner
  • Tooele, UT
National Provider Identifier
1215765490
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7868253-4405 Issued in UT
Practice address
1363 Green Meadows CT
Tooele, UT 84074-3365
Phone
(435) 813-2825
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 7868253-4405 UT Primary

Addresses

Primary practice location

1363 Green Meadows CT
Tooele, UT 84074-3365

Mailing address

1422 Spring Canyon Rd
Tooele, UT 84074-3333
Phone (435) 813-2825

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
I20250911002384 UT Practitioner - Nurse Practitioner 5193228625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMG Stansbury Family Practice LLCGroup PAC ID 7911371422, 4 clinicians

Practice addresses (Care Compare)

3950 Tealby Way
Suite 101
Erda, UT 84074-8348
Phone (801) 827-0662

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7868253-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MMG Stansbury Family Practice LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

3950 Tealby Way
Ste 101
Erda, UT 84074
Phone (801) 827-0662

576 E Highway 138
Ste 310
Tooele, UT 84074
Phone (801) 456-2333

Networks

  • UT PPO D-SNP
  • UT PPO

Organizations & group practices 1

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1215765490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 SPRING CANYON RD",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743333",
            "telephone_number": "435-813-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 GREEN MEADOWS CT",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743365",
            "telephone_number": "435-813-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLAND",
        "first_name": "DESIREE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7868253-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.