Active NPI
Tatha Marie Enz, FNP-C
- Family Nurse Practitioner
- Layton, UT
National Provider Identifier
1225549793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 216202-4405
- Practice address
- 1951 N 2000 E
Layton, UT 84040-2305 - Phone
- (801) 721-0334
- NPI assigned
- Oct 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 216202-4405 | UT | Primary |
Addresses
Primary practice location
1951 N 2000 E
Layton, UT 84040-2305
Mailing address
1951 N 2000 E
Layton, UT 84040-2305
Phone (801) 721-0334
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216202-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Tanner Memorial Clinic | Pediatrics | Current | Accepting new patients |
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Rosenberg Cooley Metcalf LC | Past | Accepting new patients |
Locations
380 N 400 W
Kaysville, UT 84037
Phone (801) 547-9500
425 S 100 W
Layton, UT 84041
Phone (801) 682-8708
Networks
- UT PPO D-SNP
- UT PPO
Interoperability endpoints
- tatha.enz.p1@direct.tannerclinic.nextgenshare.com
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 and National Provider Directory roles.
-
dba Tanner Clinic Layton South
- Multi-Specialty Clinic/Center
- Layton, UT
- NPI 1538951165
-
dba The Orthopedic Partners
- Orthopaedic Surgery Physician
- Park City, UT
- NPI 1649374216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508716800000",
"number": "1225549793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 N 2000 E",
"city": "LAYTON",
"state": "UT",
"postal_code": "840402305",
"telephone_number": "801-721-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 N 2000 E",
"city": "LAYTON",
"state": "UT",
"postal_code": "840402305",
"telephone_number": "801-721-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENZ",
"first_name": "TATHA",
"middle_name": "MARIE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2017-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "216202-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.