Individual provider Active NPI

Elli Ruth Hugh

  • Nurse Practitioner
  • American Fork, UT
National Provider Identifier
1306516570
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6904782-4405 Issued in UT
Practice address
1248 E 90 N Ste 101
American Fork, UT 84003-2954
Phone
(801) 756-4200
NPI assigned
Sep 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6904782-8900 UT
Student in an Organized Health Care Education/Training Program 390200000X
Nurse Practitioner 363L00000X 6904782-4405 UT Primary

Addresses

Primary practice location

1248 E 90 N Ste 101
American Fork, UT 84003-2954

Mailing address

1248 E 90 N Ste 101
American Fork, UT 84003-2954

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
I20211025002884 UT Practitioner - Nurse Practitioner 8921496969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rogers Foot and Ankle Institute IncGroup PAC ID 7416275482, 4 clinicians

Practice addresses (Care Compare)

1248 E 90
Suite 101
American Fork, UT 84003-2954
Phone (801) 756-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6904782-8900UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Foot & Ankle Institute Inc Podiatrist CurrentSince Oct 5, 2021 Accepting new patients
Central Utah Foot Clinic, LLC Podiatrist PastSince Sep 23, 2021 Accepting new patients

Locations

1248 E 90 N
Ste 101
American Fork, UT 84003
Phone (801) 756-4200

62 E Thrive Dr
Ste 310
Saratoga Springs, UT 84045
Phone (801) 756-4200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHEEAD/Endpoint/JHEEAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JHEEAD

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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1306516570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 E 90 N STE 101",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 E 90 N STE 101",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032954",
            "telephone_number": "801-756-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGH",
        "first_name": "ELLI",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "6904782-8900",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "6904782-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.