Individual provider Active NPI

Emily Kristen Van Os, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Holladay, UT
National Provider Identifier
1437406329
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
6621217-4405 Issued in UT
Practice address
2225 E Murray Holladay Rd Ste 108
Holladay, UT 84117-5384
Phone
(801) 609-6823
Fax
(801) 951-7221
NPI assigned
Aug 9, 2012
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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 6621217-4405 UT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6621217-4405 UT Primary

Addresses

Primary practice location

2225 E Murray Holladay Rd Ste 108
Holladay, UT 84117-5384

Mailing address

2225 E Murray Holladay Rd Ste 108
Holladay, UT 84117-5384
Phone (801) 609-6823

Other names 1

  • Emily Kristen Panhorst Former name

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
I20200324003927 UT Practitioner - Nurse Practitioner 9739517731

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2666 S 2000
Suite 101
Salt Lake City, UT 84109-1721

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health and Wellness LLC Psychiatric/Mental Health CurrentSince Sep 1, 2019 Accepting new patients

Locations

2666 S 2000 E
Ste 101
Slc, UT 84109
Phone (385) 217-7126

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.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1437406329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E MURRAY HOLLADAY RD STE 108",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175384",
            "telephone_number": "801-609-6823",
            "fax_number": "801-951-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E MURRAY HOLLADAY RD STE 108",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175384",
            "telephone_number": "801-609-6823",
            "fax_number": "801-951-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN OS",
        "first_name": "EMILY",
        "middle_name": "KRISTEN",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6621217-4405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "6621217-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "PANHORST",
            "middle_name": "KRISTEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holladay, UT

Sources for this page

Verify at the official NPI Registry.