Active NPI
Cheryl Ann Wentworth, APRN
- Family Nurse Practitioner
- Kaysville, UT
National Provider Identifier
1245989763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8194969-4405
- Practice address
- 498 N 900 W
Kaysville, UT 84037-4137 - Phone
- (385) 382-1555
- NPI assigned
- Mar 22, 2022
- Last updated
- Mar 22, 2022
- 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 | 8194969-4405 | UT | Primary |
Addresses
Primary practice location
498 N 900 W
Kaysville, UT 84037-4137
Mailing address
3680 N 2175 E
Layton, UT 84040-2428
Phone (385) 215-5007
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8194969-4405 | UT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1245989763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3680 N 2175 E",
"city": "LAYTON",
"state": "UT",
"postal_code": "840402428",
"telephone_number": "385-215-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "498 N 900 W",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840374137",
"telephone_number": "385-382-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTWORTH",
"first_name": "CHERYL",
"middle_name": "ANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-22",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "8194969-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kaysville, UT
- Wasatch Assessments, LLC
- Wasatch Eye and Optical PC (Mark A Taylor)
- Wasatch Worx Home Health
- Mark Nathan Welch
- Bryton McKay Wells, DC
- Pamela P Westover
- Whisper Cove Assisted Living Center of Kaysville, LLC (Whisper Cove Assisted Living and Memory Care)
- Isabelle Larae White, LMT
- Julie Ann White, L.C.S.W.
- William Robert Whittier, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.