Northern Valley Family Medicine

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

NORTHERN VALLEY FAMILY MEDICINE

Practice address

550 N Main St Ste 117
Logan, UT 84321-3984

Phone

(435) 265-1675

Fax

(800) 549-9403

NPI assigned

Feb 20, 2025

Last updated

Jun 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Lynn Tagg, FNPNPI 1801477286

Title

Owner

Phone

(801) 557-5024

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Lynn Tagg, FNP-BC

  • Family Nurse Practitioner
  • Logan, UT
  • NPI 1801477286
  Medicare reassignment NPD Authorized official
• Karson B. Johnson, D.C.

  • Chiropractor
  • North Logan, UT
  • NPI 1659406858
  NPD
• Diane Kirby, LMT

  • Massage Therapist
  • Logan, UT
  • NPI 1275204216
  NPD
• Evan J Lefevre,, D.C., P.C.

  • Chiropractor
  • Logan, UT
  • NPI 1386725190
  NPD
• James Lawrence Misustin, D.C.

  • Sports Physician Chiropractor
  • Logan, UT
  • NPI 1427115682
  NPD
• Brent E. Peterson, D.C.

  • Chiropractor
  • Logan, UT
  • NPI 1356535694
  NPD (past)
• Michael A Terry, D.C.

  • Chiropractor
  • Spokane, WA
  • NPI 1861550279
  NPD (past)

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1285430207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W 3400 S",
            "city": "NIBLEY",
            "state": "UT",
            "postal_code": "843216461",
            "telephone_number": "801-557-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST STE 117",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213984",
            "telephone_number": "435-265-1675",
            "fax_number": "800-549-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VALLEY FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "TAGG",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-557-5024",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Utah Eye Center
• Northern Utah Gastroenterology and Endoscopy Specialists LLC
• Northern Utah Pathology PC
• Northern Utah Surgery Center, LLC
• Northern Utah Surgicenter, LLC (Advanced Surgery Center of Northern Utah)
• Northland Hearing Centers Inc (All American Hearing)
• Haylee Schultz Nunez
• Sage Nyman, PA
• Bruce A O'Very, MD
• Genessa Oak, OTR/L

• Family Nurse Practitioner in Logan, UT
• Providers in Logan, 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 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.