Annette M Ephroni, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

6009592-4408 Issued in UT

Practice address

275 E South Temple Ste 250
Salt Lake City, UT 84111-1273

Phone

(801) 971-7815

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Annette Milliron Ephroni Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Ihc Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Midvale, UT
  • NPI 1891810867
  NPD (past)
• Mountain Valley Counseling, LLC

  • Mental Health Counselor
  • South Jordan, UT
  • NPI 1265041842
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1295842094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 ELIZABETH ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023810",
            "telephone_number": "801-583-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E SOUTH TEMPLE STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111273",
            "telephone_number": "801-971-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPHRONI",
        "first_name": "ANNETTE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "6009592-4408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "EPHRONI",
            "middle_name": "MILLIRON",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ensign Peak Services, Inc.
• Richard H Ensign II, PHARMD
• Kyle R Enslin
• Gita Entezam
• Jarred J Entringer
• Epic Minds Therapy Ut
• Christy L Epperson
• Justin Dale Epperson
• Cassidy Eppich
• Christopher Eppich, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.

Verify at the official NPI Registry.