Individual provider Active NPI

Camrey Dawn Tuttle

  • Family Nurse Practitioner
  • Orangeville, UT
National Provider Identifier
1427660737
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11582197-4405 Issued in UT
Practice address
120 S 100 W
Orangeville, UT 84537-7834
Phone
(435) 609-6584
NPI assigned
Aug 18, 2020
Last updated
Dec 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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 11582197-4405 UT Primary
Medical-Surgical Registered Nurse 163WM0705X 115821973102 UT

Addresses

Primary practice location

120 S 100 W
Orangeville, UT 84537-7834

Mailing address

PO Box 204
Orangeville, UT 84537-0204
Phone (435) 609-6584

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address camreytuttle@email.arizona.edu

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
I20230802001691 UT Practitioner - Nurse Practitioner 2668833997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shane D Gagon MD, PCGroup PAC ID 9335236868, 9 clinicians

Practice addresses (Care Compare)

377 No Fairgrounds Rd
Gagon Family Practice
Price, UT 84501-4211
Phone (435) 613-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115821973102UTMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Shane D Gagon MD, PC CurrentSince Jun 27, 2023 Accepting new patients

Locations

377 N Fairgrounds Rd
Price, UT 84501
Phone (435) 613-2200

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1427660737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "ORANGEVILLE",
            "state": "UT",
            "postal_code": "845370204",
            "telephone_number": "435-609-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 100 W",
            "city": "ORANGEVILLE",
            "state": "UT",
            "postal_code": "845377834",
            "telephone_number": "435-609-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "CAMREY",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11582197-4405",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "UT",
            "license": "115821973102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "camreytuttle@email.arizona.edu",
            "affiliation": "N",
            "address_1": "240 East Center Street",
            "city": "Orangeville",
            "state": "UT",
            "country_code": "US",
            "postal_code": "845370204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orangeville, UT

Sources for this page

Verify at the official NPI Registry.