Individual provider Active NPI

Eve O'Pray-Nichols, RN, BSN, CDCES

  • Diabetes Educator Registered Nurse
  • Fort Duchesne, UT
National Provider Identifier
1245842962
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
9047345-3102 Issued in UT
Practice address
6932 E 1400 S
Ft. Duchesne, UT 84026
Phone
(435) 722-5122
Fax
(435) 725-6845
NPI assigned
Aug 24, 2020
Last updated
Aug 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 9047345-3102 UT Primary

Addresses

Primary practice location

6932 E 1400 S
Ft. Duchesne, UT 84026

Mailing address

PO Box 160
Fort Duchesne, UT 84026-0160
Phone (435) 722-5122

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
9047345-3102UTMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Phoenix Area PastSince Aug 30, 2020 Accepting new patients

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, 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": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1245842962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "FORT DUCHESNE",
            "state": "UT",
            "postal_code": "840260160",
            "telephone_number": "435-722-5122",
            "fax_number": "435-725-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6932 E 1400 S",
            "city": "FT. DUCHESNE",
            "state": "UT",
            "postal_code": "84026",
            "telephone_number": "435-722-5122",
            "fax_number": "435-725-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'PRAY-NICHOLS",
        "first_name": "EVE",
        "credential": "RN, BSN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "UT",
            "license": "9047345-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Duchesne, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.