Individual provider Active NPI

Bethany Robbins, NP

  • Family Nurse Practitioner
  • Brigham City, UT
National Provider Identifier
1376137547
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10507393-4405 Issued in UT
Practice address
770 S 200 E
Brigham City, UT 84302-3387
Phone
(435) 723-0517
Fax
(435) 723-0587
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10507393-4405 UT Primary
Registered Nurse 163W00000X 10507393-3102 UT

Addresses

Primary practice location

770 S 200 E
Brigham City, UT 84302-3387

Mailing address

770 S 200 E
Brigham City, UT 84302-3387
Phone (435) 723-0517

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
I20230426003333 UT Practitioner - Nurse Practitioner 3870958804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Spinal Rehabilitation PCGroup PAC ID 1153462791, 3 clinicians

Practice addresses (Care Compare)

1649 W Antelope Dr
Suite 180
Layton, UT 84041-1194
Phone (801) 444-1230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10507393-3102UTMDRegistered Nurse
10507393-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Memorial Clinic CurrentSince Mar 6, 2023 Accepting new patients
Tanner Memorial Clinic CurrentSince Mar 6, 2023 Accepting new patients
Tanner Memorial Clinic Current Accepting new patients
Advanced Spinal Rehabilitation PC CurrentSince Jul 29, 2025 Accepting new patients
Body Needs Inc Past Accepting new patients

Locations

1649 W Antelope Dr
Layton, UT 84041
Phone (801) 444-1230

1649 W Antelope Dr
Ste 180
Layton, UT 84041
Phone (801) 444-1230

3443 W 5600 S
Roy, UT 84067
Phone (801) 825-6400

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1376137547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 S 200 E",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023387",
            "telephone_number": "435-723-0517",
            "fax_number": "435-723-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 S 200 E",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023387",
            "telephone_number": "435-723-0517",
            "fax_number": "435-723-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "BETHANY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10507393-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "10507393-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

Verify at the official NPI Registry.