Individual provider Active NPI

Ryan Mackay Austin, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • North Logan, UT
National Provider Identifier
1366328726
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11098002-4405 Issued in UT
Practice address
1515 N 400 E Ste 104
North Logan, UT 84341-7595
Phone
(435) 755-6061
NPI assigned
Aug 12, 2025
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11098002-4405 UT Primary

Addresses

Primary practice location

1515 N 400 E Ste 104
North Logan, UT 84341-7595

Mailing address

500 S 11TH Ave Ste 400
Pocatello, ID 83201-4880
Phone (208) 232-7862

Other practice location 1

5 W 200 N
Brigham City, UT 84302-2109
Phone (435) 723-7999

Other practice location 2

517 W 100 N Ste 110
Providence, UT 84332-9826
Phone (435) 755-6075

Other practice location 3

325 W Logan Rd
Garden City, UT 84028-7754
Phone (435) 946-3660

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
I20251016003526 UT Practitioner - Nurse Practitioner 7315434826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 S 11TH Ave
Suite 400
Pocatello, ID 83201-4880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11098002-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health West, Inc. Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Health West, Inc. Current Accepting new patients
Health West, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients

Locations

500 S 11th Ave
Ste 400
Pocatello, ID 83201

5 W 200 N
Brigham City, UT 84302
Phone (435) 723-6033

1515 N 400 E
Ste 104
North Logan, UT 84341
Phone (435) 755-8424

517 W 100 N
Ste 110
Providence, UT 84332
Phone (435) 755-6075

Interoperability endpoints

  • Direct secure messaging: ryan.austin.1@16258.direct.athenahealth.com

Organizations & group practices 4

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": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1366328726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 400",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014880",
            "telephone_number": "208-232-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N 400 E STE 104",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843417595",
            "telephone_number": "435-755-6061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 W 200 N",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "843022109",
            "country_code": "US",
            "telephone_number": "435-723-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 W 100 N Ste 110",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "UT",
            "postal_code": "843329826",
            "country_code": "US",
            "telephone_number": "435-755-6075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 W Logan Rd",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "UT",
            "postal_code": "840287754",
            "country_code": "US",
            "telephone_number": "435-946-3660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "RYAN",
        "middle_name": "MACKAY",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11098002-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Logan, UT

Sources for this page

Verify at the official NPI Registry.