Individual provider Active NPI

Alise Robison, PA

  • Student in an Organized Health Care Education/Training Program
  • Draper, UT
National Provider Identifier
1356046098
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
798 E Draper Heights Way
Draper, UT 84020-7630
Phone
(251) 455-6556
NPI assigned
Apr 3, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

798 E Draper Heights Way
Draper, UT 84020-7630

Mailing address

798 E Draper Heights Way
Draper, UT 84020-7630
Phone (251) 455-6556

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
I20251214000031 UT Practitioner - Physician Assistant 1355835620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Utah School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothill Clinic LLCGroup PAC ID 9931003795, 42 clinicians

Practice addresses (Care Compare)

6360 S 3000
Suite 100
Salt Lake City, UT 84121-6924
Phone (801) 365-1032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Clinic, LLC Family Medicine CurrentSince Feb 1, 2026 Accepting new patients

Locations

13953 S Bangerter Pkwy
Draper, UT 84020
Phone (385) 900-4090

6360 S 3000 E
Ste 100
Salt Lake Cty, UT 84121
Phone (801) 365-1032

2295 S Foothill Dr
Slc, UT 84109
Phone (801) 486-3021

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1356046098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 E DRAPER HEIGHTS WAY",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207630",
            "telephone_number": "251-455-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 E DRAPER HEIGHTS WAY",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207630",
            "telephone_number": "251-455-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "ALISE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.