Individual provider Active NPI

Andrea Anderson Dehart, CDCES

  • Diabetes Educator Registered Nurse
  • Murray, UT
National Provider Identifier
1336087022
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
6432766-3102 Issued in UT
Practice address
5063 S Cottonwood St Ste 100
Murray, UT 84107-6772
Phone
(801) 507-7400
Fax
(801) 507-7493
NPI assigned
Mar 23, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WD0400X 6432766-3102 UT Primary

Addresses

Primary practice location

5063 S Cottonwood St Ste 100
Murray, UT 84107-6772

Mailing address

5063 S Cottonwood St Ste 100
Murray, UT 84107-6772
Phone (801) 507-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6432766-3102UTMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1336087022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5063 S COTTONWOOD ST STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076772",
            "telephone_number": "801-507-7400",
            "fax_number": "801-507-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5063 S COTTONWOOD ST STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076772",
            "telephone_number": "801-507-7400",
            "fax_number": "801-507-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHART",
        "first_name": "ANDREA",
        "middle_name": "ANDERSON",
        "credential": "CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "UT",
            "license": "6432766-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.