Individual provider Active NPI

Sandra Miller, APRN

  • Family Nurse Practitioner
  • Saratoga Springs, UT
National Provider Identifier
1437105269
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
149441-4405 Issued in UT
Practice address
252 W Kestrel Drive
Saratoga Springs, UT 84045-6010
Phone
(801) 756-3511
NPI assigned
May 25, 2006
Last updated
Aug 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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 149441-4405 UT Primary

Addresses

Primary practice location

252 W Kestrel Drive
Saratoga Springs, UT 84045-6010

Mailing address

766 S 400 E
Orem, UT 84097-6300
Phone (801) 376-6082

Other identifiers 1

IdentifierTypeStateIssuer
P95503MedicaidUT

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
I20060808000098 UT Practitioner - Nurse Practitioner 5395758635 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medical - Lindon Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Premier Family Medical - City Center Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Utah State Developmental Center CurrentSince Aug 24, 2015 Accepting new patients
Premier Family Medical Family Medicine Current Accepting new patients
State of Utah CurrentSince Aug 24, 2015 Accepting new patients
Premier Family Medical - Traverse Mountain Family Medicine PastSince Mar 24, 2024 Accepting new patients
John L. Bezzant, M.D. P.C. Past Accepting new patients

Locations

895 N 900 E
American Fork, UT 84003
Phone (801) 756-6022

3000 N Triumph Blvd
Ste 220
Lehi, UT 84043
Phone (801) 642-2990

830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511

Organizations & group practices 7

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1437105269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 S 400 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840976300",
            "telephone_number": "801-376-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 W KESTREL DRIVE",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840456010",
            "telephone_number": "801-756-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SANDRA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "149441-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P95503",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, UT

Sources for this page

Verify at the official NPI Registry.