Individual provider Active NPI

Robert D Warren, ANP

  • Nurse Practitioner
  • Draper, UT
National Provider Identifier
1376961011
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
334347-4405 Issued in UT
Practice address
12176 S 1000 E Ste 4
Draper, UT 84020-3221
Phone
(800) 640-3451
NPI assigned
Mar 31, 2014
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 334347-4405 UT Primary

Addresses

Primary practice location

12176 S 1000 E Ste 4
Draper, UT 84020-3221

Mailing address

PO Box 1200
Pleasant Grove, UT 84062-1200
Phone (800) 640-3451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140421002109 AK Practitioner - Nurse Practitioner 0749412047
I20221122001272 UT Practitioner - Nurse Practitioner 0749412047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spencer J Hardenbrook MD PCGroup PAC ID 2062733546, 93 clinicians

Practice addresses (Care Compare)

12176 S 1000
Draper, UT 84020-9734
Phone (800) 640-3451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
334347-4405UTMDNurse Practitioner
1432AKMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Family Health Centers, LLC CurrentSince Apr 3, 2017 Accepting new patients
Spencer J Hardenbrook MD PC CurrentSince Mar 1, 2024 Accepting new patients
Hidden Valley Family Medicine Inc CurrentSince Mar 12, 2024 Accepting new patients
Nextpain Medical PA CurrentSince Oct 7, 2024 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Nov 11, 2023 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Nov 11, 2023 Accepting new patients

Locations

425 E Dahlia Ave
Ste L
Palmer, AK 99645
Phone (907) 376-2411

12176 S 1000 E
Draper, UT 84020
Phone (801) 523-3023

12176 S 1000 E
Ste 4
Draper, UT 84020
Phone (801) 572-3750

1010 S 1100 W
Lehi, UT 84043
Phone (385) 501-2433

750 W 800 N
Orem, UT 84057
Phone (801) 714-6000

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1376961011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840621200",
            "telephone_number": "800-640-3451",
            "fax_number": "385-287-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12176 S 1000 E STE 4",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840203221",
            "telephone_number": "800-640-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "334347-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.