Active NPI
Theresa Karen Delikat, RN
- Community Health Registered Nurse
- Fort Duchesne, UT
National Provider Identifier
1285855866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 6036243-3102
- Practice address
- 6822E 1000S
Fort Duchesne, UT 84026-0160 - Phone
- (435) 828-5218
- NPI assigned
- May 1, 2007
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 6036243-3102 | UT | Primary |
Addresses
Primary practice location
6822E 1000S
Fort Duchesne, UT 84026-0160
Mailing address
6395E 2000N
P.O.Box 714
Fort Duchesne, UT 84026
Phone (435) 725-6839
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6036243-3102 | UT | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285855866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6395E 2000N",
"address_2": "P.O.BOX 714",
"city": "FORT DUCHESNE",
"state": "UT",
"postal_code": "84026",
"telephone_number": "435-725-6839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6822E 1000S",
"city": "FORT DUCHESNE",
"state": "UT",
"postal_code": "840260160",
"telephone_number": "435-828-5218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELIKAT",
"first_name": "THERESA",
"middle_name": "KAREN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "UT",
"license": "6036243-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Duchesne, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.