Joshua Raphael Phelps, FNP, D.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7387085-4405 Issued in UT

Practice address

1900 Washington Blvd
Suite 104
Ogden, UT 84401-6850

Phone

(801) 612-1085

Fax

(801) 337-1104

NPI assigned

Dec 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cross Country Holdings P CGroup PAC ID 7517260896, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

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.

• Cross Country Holdings, P.C.

  • Family Medicine Physician
  • Ogden, UT
  • NPI 1578937801

  Chiropractor

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1255513107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WASHINGTON BLVD",
            "address_2": "SUITE 104",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844016850",
            "telephone_number": "801-612-1085",
            "fax_number": "801-337-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WASHINGTON BLVD",
            "address_2": "SUITE 104",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844016850",
            "telephone_number": "801-612-1085",
            "fax_number": "801-337-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JOSHUA",
        "middle_name": "RAPHAEL",
        "name_prefix": "Dr.",
        "credential": "FNP, D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7387085-1202",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7387085-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Peto, RN
• Whitney Petri, OTR/L
• Brian Dion Petrovich, PSYD
• Madelyn Petty
• Paige Phalen
• Nathan Phelps, MD
• Philip B. Johnson, M.S., P.C.
• Daniel Barratt Phillips, LCMHC
• Krystle Phillips
• S Douglas Phillips, MD

• Family Nurse Practitioner in Ogden, UT
• Providers in Ogden, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.