Active NPI
Connie Kim Quinton, APRN MSN FNP
- Family Nurse Practitioner
- Price, UT
National Provider Identifier
1346233996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0190288-8900
- Practice address
- 590 E 100 N Ste 6
Price, UT 84501-2600 - Phone
- (435) 613-9466
- Fax
- (435) 613-9469
- NPI assigned
- Aug 30, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0190288-8900 | UT | Primary |
Addresses
Primary practice location
590 E 100 N Ste 6
Price, UT 84501-2600
Mailing address
590 E 100 N Ste 6
PO Box 1734
Price, UT 84501-2600
Phone (435) 613-9466
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01902884401001 | Other | UT | BCBS |
| 7076446 | Other | UT | AETNA |
| 87-0530876 | Other | UT | TAX ID |
| 870530876 | Other | UT | TRICARE |
| 0251516 | Other | UT | PEHP |
| 46D1010536 | Other | UT | CLIA |
| 603509700 | Other | UT | WORKERS COMP |
| QM0000064041 | Other | UT | ALTIUS |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0190288-8900 | UT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1346233996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 E 100 N STE 6",
"address_2": "PO BOX 1734",
"city": "PRICE",
"state": "UT",
"postal_code": "845012600",
"telephone_number": "435-613-9466",
"fax_number": "435-613-9469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 E 100 N STE 6",
"city": "PRICE",
"state": "UT",
"postal_code": "845012600",
"telephone_number": "435-613-9466",
"fax_number": "435-613-9469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTON",
"first_name": "CONNIE",
"middle_name": "KIM",
"name_prefix": "Mrs.",
"credential": "APRN MSN FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "0190288-8900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01902884401001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7076446",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "87-0530876",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "870530876",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "0251516",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "46D1010536",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "603509700",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000064041",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Price, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.