Individual provider Active NPI

Tamera Acord, RN

  • General Practice Registered Nurse
  • Riverton, UT
National Provider Identifier
1336760966
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
10781811-3112 Issued in UT
Practice address
5463 W Autumn Creek Dr
Riverton, UT 84096-6568
Phone
(801) 573-9072
NPI assigned
May 5, 2020
Last updated
May 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 10781811-3112 UT Primary

Addresses

Primary practice location

5463 W Autumn Creek Dr
Riverton, UT 84096-6568

Mailing address

5463 W Autumn Creek Dr
Riverton, UT 84096-6568
Phone (801) 573-9072

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
10781811-3112UTMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1336760966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5463 W AUTUMN CREEK DR",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840966568",
            "telephone_number": "801-573-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5463 W AUTUMN CREEK DR",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840966568",
            "telephone_number": "801-573-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACORD",
        "first_name": "TAMERA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "UT",
            "license": "10781811-3112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.