Individual provider Active NPI

Taelyr Stevenson, APRN

  • Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1295535912
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
108268904405 Issued in UT
Practice address
1250 E 3900 S Ste 440
Salt Lake City, UT 84124-1349
Phone
(801) 869-4100
NPI assigned
Mar 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 108268904405 UT Primary

Addresses

Primary practice location

1250 E 3900 S Ste 440
Salt Lake City, UT 84124-1349

Mailing address

278 N 200 E
Santaquin, UT 84655-7103
Phone (801) 400-4662

Other practice location 1

4460 S Highland Dr Ste 220
Millcreek, UT 84124-3550
Phone (804) 438-4259

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
I20250502000053 UT Practitioner - Nurse Practitioner 9133645153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Welscare LLCGroup PAC ID 6901253780, 6 clinicians

Practice addresses (Care Compare)

1250 E 3900
Suite 440
Salt Lake City, UT 84124-1349
Phone (801) 869-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108268904405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Vein & Vascular LLC Welscare of Utah CurrentSince Dec 7, 2025 Accepting new patients
Welscare LLC Nurse Practitioner CurrentSince Mar 24, 2025 Accepting new patients

Locations

4460 S Highland Dr
Ste 220
Salt Lake City, UT 84124
Phone (801) 273-6300

4460 S Highland Dr
Ste 200
Salt Lake City, UT 84124
Phone (804) 438-4259

1250 E 3900 S
Ste 440
Slc, UT 84124
Phone (801) 261-2232

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": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1295535912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 N 200 E",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "846557103",
            "telephone_number": "801-400-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 440",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241349",
            "telephone_number": "801-869-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4460 S Highland Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Millcreek",
            "state": "UT",
            "postal_code": "841243550",
            "country_code": "US",
            "telephone_number": "804-438-4259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "TAELYR",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "108268904405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.