Active NPI
Margo V. Stevens, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1275518185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209808-4405
- Practice address
- 1020 S Main St
Suite 100
Salt Lake City, UT 84101-3176 - Phone
- (801) 539-7000
- Fax
- (801) 539-7050
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209808-4405 | UT | Primary |
Addresses
Primary practice location
1020 S Main St
Suite 100
Salt Lake City, UT 84101-3176
Mailing address
430 G St
Salt Lake City, UT 84103-3109
Phone (801) 355-7582
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 638896 | Other | UT | DESERET MUTUAL |
| 942938348005 | Other | UT | CHAMPUS |
| 107002816101 | Other | UT | INTERMOUNTAIN HEALTH CARE |
| 500030249 | Other | UT | RCAR- RAILROAD MEDICARE |
| 942938348MGO | Other | UT | EDUCATORS MUTUAL |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Behavioral Health Incorporated | Psychiatric/Mental Health | Past | 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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Valley City, UT
- NPI 1932166980
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1275518185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 G ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841033109",
"telephone_number": "801-355-7582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 S MAIN ST",
"address_2": "SUITE 100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841013176",
"telephone_number": "801-539-7000",
"fax_number": "801-539-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "MARGO",
"middle_name": "V.",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "UT",
"license": "209808-4405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "638896",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "942938348005",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERMOUNTAIN HEALTH CARE",
"identifier": "107002816101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RCAR- RAILROAD MEDICARE",
"identifier": "500030249",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "942938348MGO",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.