Individual provider Active NPI

Emily S Himebaugh, FNP

  • Family Nurse Practitioner
  • West Jordan, UT
National Provider Identifier
1285936617
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6309379-4405 Issued in UT
Practice address
3584 W 9000 S
Suite 300
West Jordan, UT 84088-5710
Phone
(801) 563-5121
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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 6309379-4405 UT Primary

Addresses

Primary practice location

3584 W 9000 S
Suite 300
West Jordan, UT 84088-5710

Mailing address

3584 W 9000 S
Suite 300
West Jordan, UT 84088-5710
Phone (801) 563-5121

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
I20110121000172 UT Practitioner - Nurse Practitioner 3577742683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gut Whisperer PCGroup PAC ID 4284700436, 5 clinicians

Practice addresses (Care Compare)

1543 W 12600
Suite 102
Riverton, UT 84065-7176
Phone (801) 563-5121

Hospital & facility affiliations

  • Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051
  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gut Whisperer PC CurrentSince Nov 9, 2010 Accepting new patients

Locations

900 Round Valley Dr
Ste 120
Park City, UT 84060
Phone (435) 776-3499

1543 W 12600 S
Ste 102
Riverton, UT 84065
Phone (801) 563-5121

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

2295 S Foothill Dr
Slc, UT 84109
Phone (801) 486-3021

4624 S Holladay Blvd
Slc, UT 84117
Phone (801) 277-1028

3584 W 9000 S
Ste 300
West Jordan, UT 84088
Phone (801) 233-8233

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1285936617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S",
            "address_2": "SUITE 300",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885710",
            "telephone_number": "801-563-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S",
            "address_2": "SUITE 300",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885710",
            "telephone_number": "801-563-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMEBAUGH",
        "first_name": "EMILY",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6309379-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.