Individual provider Active NPI

Stefani Jane Day, MD

  • Family Medicine Physician
  • Park City, UT
National Provider Identifier
1265439236
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
376416-1205 Issued in UT
Practice address
1665 Bonanza Dr
Park City, UT 84060-5127
Phone
(435) 649-7640
Fax
(435) 645-7768
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 376416-1205 UT Primary

Addresses

Primary practice location

1665 Bonanza Dr
Park City, UT 84060-5127

Mailing address

1665 Bonanza Dr
Park City, UT 84060-5127
Phone (435) 649-7640

Other names 1

  • Stefani J Day Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090130000072 UT Practitioner - Family Practice 8729142138 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
376416-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Feb 2, 2023 Accepting new patients
Community Health Centers, Inc. Family Medicine Current Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494

610 S 200 E
Ste B
Salt Lake City, UT 84111
Phone (801) 539-8617

9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403

4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214

1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986

2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614

Interoperability endpoints

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

Organizations & group practices 3

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1265439236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 BONANZA DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840605127",
            "telephone_number": "435-649-7640",
            "fax_number": "435-645-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 BONANZA DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840605127",
            "telephone_number": "435-649-7640",
            "fax_number": "435-645-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "STEFANI",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "376416-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANI",
            "last_name": "DAY",
            "middle_name": "J",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Park City, UT

Sources for this page

Verify at the official NPI Registry.