Active NPI
Brooke Walter Pieper, A.P.R.N.
- Primary Care Nurse Practitioner
- Panguitch, UT
National Provider Identifier
1295570059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 5138621-4405
- Practice address
- 948 S. 190 E.
Panguitch, UT 84759-1235 - Phone
- (435) 690-0237
- NPI assigned
- Jun 25, 2024
- Last updated
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 5138621-4405 | UT | Primary |
Addresses
Primary practice location
948 S. 190 E.
Panguitch, UT 84759-1235
Mailing address
308 E 4500 S Ste B
Murray, UT 84107-3957
Phone (801) 900-3280
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240814000774 | UT | Practitioner - Nurse Practitioner | 7517405194 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5138621-4405 | UT | MD | Primary Care Nurse Practitioner |
Interoperability endpoints
- brooke.pieper.1@20544.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1295570059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 E 4500 S STE B",
"city": "MURRAY",
"state": "UT",
"postal_code": "841073957",
"telephone_number": "801-900-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "948 S. 190 E.",
"city": "PANGUITCH",
"state": "UT",
"postal_code": "847591235",
"telephone_number": "435-690-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIEPER",
"first_name": "BROOKE",
"middle_name": "WALTER",
"credential": "A.P.R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "UT",
"license": "5138621-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panguitch, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.