Individual provider Active NPI

Rae Lynn Eyre, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1285196428
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1425974-4405 Issued in UT
Practice address
89 E 200 S Unit 2508
Salt Lake City, UT 84111-2358
Phone
(614) 288-8899
NPI assigned
Apr 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1425974-4405 UT Primary

Addresses

Primary practice location

89 E 200 S Unit 2508
Salt Lake City, UT 84111-2358

Mailing address

89 E 200 S Unit 2508
Salt Lake City, UT 84111-2358
Phone (614) 288-8899

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Columbus Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250708004244 UT Practitioner - Nurse Practitioner 8628582046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tecs Utah PCGroup PAC ID 2163931106, 6 clinicians

Practice addresses (Care Compare)

350 E 300
American Fork, UT 84003-1717
Phone (801) 756-5293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024447OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tecs Utah PC CurrentSince Jun 13, 2025 Accepting new patients
Signify Health, LLC CurrentSince Jan 14, 2026 Accepting new patients

Locations

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

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

350 E 300 N
American Fork, UT 84003
Phone (385) 350-8500

523 N Main St
Bountiful, UT 84010
Phone (801) 951-1600

775 N 200 E
Brigham City, UT 84302
Phone (435) 723-7777

1100 N 400 E
Nephi, UT 84648
Phone (435) 623-1721

163 E 1000 N
Richfield, UT 84701
Phone (435) 896-8211

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

2472 S 300 E
South Salt Lake, UT 84115
Phone (801) 273-6402

Interoperability endpoints

  • Direct secure messaging: rae.lynn.eyre.1@14940.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1285196428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 E 200 S UNIT 2508",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112358",
            "telephone_number": "614-288-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 E 200 S UNIT 2508",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112358",
            "telephone_number": "614-288-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYRE",
        "first_name": "RAE",
        "middle_name": "LYNN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "1425974-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Columbus",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Columbus",
            "address_1": "1087 Dennison Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432013201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.