Individual provider Active NPI

Heidi Porter, NP

  • Nurse Practitioner
  • American Fork, UT
National Provider Identifier
1225064124
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
294278-4405 Issued in UT
Practice address
1248 E 90 N Ste 102
American Fork, UT 84003-2954
Phone
(801) 756-9132
Fax
(801) 756-5091
NPI assigned
Jun 23, 2006
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 294278-4405 UT Primary

Addresses

Primary practice location

1248 E 90 N Ste 102
American Fork, UT 84003-2954

Mailing address

3550 N University Ave Ste 250
Provo, UT 84604-6695
Phone (801) 374-9625

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
I20040309001081 UT Practitioner - Nurse Practitioner 9739077876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Surgical Associates IncGroup PAC ID 4486686698, 48 clinicians

Practice addresses (Care Compare)

1248 E 90
Suite 102
American Fork, UT 84003-2954
Phone (801) 756-9132

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Surgical Associates, Inc. CurrentSince Jun 6, 2008 Accepting new patients
Granite Peaks Gi, LLC Past Accepting new patients
Revere Health PC Past Accepting new patients
Utah Weight Loss, LLC PastSince Jun 6, 2008 Accepting new patients

Locations

1248 E 90 N
Ste 103
American Fork, UT 84003
Phone (801) 852-9560

1248 E 90 N
Ste 102
American Fork, UT 84003
Phone (801) 756-9132

3000 N Triumph Blvd
Ste 250
Lehi, UT 84043
Phone (801) 619-9000

3550 N University Ave
Ste 250
Provo, UT 84604
Phone (801) 374-9625

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1225064124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 N UNIVERSITY AVE STE 250",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046695",
            "telephone_number": "801-374-9625",
            "fax_number": "801-374-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 E 90 N STE 102",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032954",
            "telephone_number": "801-756-9132",
            "fax_number": "801-756-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "HEIDI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "294278-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.