Individual provider Active NPI

Taylor Swenson III, F.N.P.

  • Family Nurse Practitioner
  • Pleasant View, UT
National Provider Identifier
1245696913
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8171394-4405 Issued in UT
Practice address
1100 W 2700 N
Pleasant View, UT 84404-4791
Phone
(801) 475-3600
Fax
(801) 475-3601
NPI assigned
Jan 11, 2016
Last updated
May 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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 8171394-4405 UT Primary

Addresses

Primary practice location

1100 W 2700 N
Pleasant View, UT 84404-4791

Mailing address

PO Box 555
Denver, CO 80201-0555
Phone (801) 475-3500

Other identifiers 1

IdentifierTypeStateIssuer
1245696913MedicaidUT

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
I20170428001489 UT Practitioner - Nurse Practitioner 8426335415 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8171394-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Clinic Specialty Services LLC Current Accepting new patients
Peak Health and Wellness, LLC CurrentSince Sep 1, 2018 Accepting new patients
Wellbe Utah LLC CurrentSince Sep 11, 2023 Accepting new patients
Ogden Clinic PC CurrentSince Oct 1, 2019 Accepting new patients

Locations

225 W Washington St
Ste 1500
Chicago, IL 60606
Phone (312) 776-2422

2850 N 2000 W
Ste 203
Ogden, UT 84404
Phone (801) 689-3389

5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100

1100 W 2700 N
Pleasant View, UT 84404
Phone (801) 475-3600

250 E 200 S
Fl 16
Slc, UT 84111
Phone (312) 776-2422

5576 S 1750 E
South Ogden, UT 84403
Phone (385) 238-4681

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1245696913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802010555",
            "telephone_number": "801-475-3500",
            "fax_number": "801-475-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W 2700 N",
            "city": "PLEASANT VIEW",
            "state": "UT",
            "postal_code": "844044791",
            "telephone_number": "801-475-3600",
            "fax_number": "801-475-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "TAYLOR",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-11",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8171394-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245696913",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant View, UT

Sources for this page

Verify at the official NPI Registry.