NPIMap

Organization Active NPI

Valley Family Medical

  • Family Nurse Practitioner
  • Eden, UT
National Provider Identifier
1366032351
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
VALLEY FAMILY MEDICAL
Practice address
2595 N Highway 162
Eden, UT 84310-6711
Phone
(801) 668-2910
Fax
(801) 340-0306
NPI assigned
Jan 22, 2021
Last updated
Jan 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Mrs. Emily Ball, FNP-C MPHNPI 1295342913
Title
Owner
Phone
(970) 379-8773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

2595 N Highway 162
Eden, UT 84310-6711

Mailing address

PO Box 1045
Eden, UT 84310-1045
Phone (801) 668-2910

National Provider Directory

National Provider Directory

Locations

2595 N Highway 162
Eden, UT 84310
Phone (801) 668-2910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1366032351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "EDEN",
            "state": "UT",
            "postal_code": "843101045",
            "telephone_number": "801-668-2910",
            "fax_number": "801-340-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 N HIGHWAY 162",
            "city": "EDEN",
            "state": "UT",
            "postal_code": "843106711",
            "telephone_number": "801-668-2910",
            "fax_number": "801-340-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FAMILY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-379-8773",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C MPH"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.