Individual provider Active NPI

Shawna Marie Demmitt, A.P.R.N, FNP-C

  • Nurse Practitioner
  • Provo, UT
National Provider Identifier
1235064569
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13189062-4405 Issued in UT
Practice address
1247 S 860 W
Provo, UT 84601-6516
Phone
(801) 623-8524
NPI assigned
Jun 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 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 13189062-4405 UT Primary

Addresses

Primary practice location

1247 S 860 W
Provo, UT 84601-6516

Mailing address

1247 S 860 W
Provo, UT 84601-6516
Phone (801) 623-8524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3401 N Thanksgiving Way
Suite 190
Lehi, UT 84048-4157

PO Box
Suite 167
Kaysville, UT 84037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1235064569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 S 860 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846016516",
            "telephone_number": "801-623-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 S 860 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846016516",
            "telephone_number": "801-623-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMMITT",
        "first_name": "SHAWNA",
        "middle_name": "MARIE",
        "credential": "A.P.R.N, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "13189062-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.