Individual provider Active NPI

Marcia De Oliveira Silva Alves

  • Family Nurse Practitioner
  • Eagle Mountain, UT
National Provider Identifier
1407656093
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12032331-4405 Issued in UT
Practice address
4214 N Lake Mountain Rd
Eagle Mountain, UT 84005-4002
Phone
(385) 208-2676
NPI assigned
Mar 14, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 12032331-4405 UT
Family Nurse Practitioner 363LF0000X 12032331-4405 UT Primary
Primary Care Nurse Practitioner 363LP2300X 12032331-4405 UT

Addresses

Primary practice location

4214 N Lake Mountain Rd
Eagle Mountain, UT 84005-4002

Mailing address

4214 N Lake Mountain Rd
Eagle Mountain, UT 84005-4002
Phone (385) 208-2676

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
I20250512000653 UT Practitioner - Nurse Practitioner 7113444308 Reassigns benefits to 1 organization
Practice locations: Draper, UT; Eagle Mountain, UT

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12032331-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ma Family Health PLLC Family CurrentSince Sep 21, 2025 Accepting new patients
Edelweiss Senior Care PLLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

12176 S 1000 E
Ste 12
Draper, UT 84020
Phone (435) 709-6771

Organizations & group practices 2

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": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1407656093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 N LAKE MOUNTAIN RD",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054002",
            "telephone_number": "385-208-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 N LAKE MOUNTAIN RD",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054002",
            "telephone_number": "385-208-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE OLIVEIRA SILVA ALVES",
        "first_name": "MARCIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "12032331-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12032331-4405",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "12032331-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

Verify at the official NPI Registry.