Active NPI
Rebecca Anne Patton, DNP, RN, NNP-BC
- Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1437911708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9427887-4405
- Practice address
- 1459 S Ambassador Way
Salt Lake City, UT 84108-2858 - Phone
- (801) 915-2168
- NPI assigned
- Jan 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9427887-4405 | UT | Primary |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | . | UT |
Addresses
Primary practice location
1459 S Ambassador Way
Salt Lake City, UT 84108-2858
Mailing address
1459 S Ambassador Way
Salt Lake City, UT 84108-2858
Phone (801) 915-2168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| . | UT | MD | Behavior Technician |
| 9427887-4405 | UT | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1437911708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1459 S AMBASSADOR WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841082858",
"telephone_number": "801-915-2168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1459 S AMBASSADOR WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841082858",
"telephone_number": "801-915-2168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "REBECCA",
"middle_name": "ANNE",
"credential": "DNP, RN, NNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-23",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "9427887-4405",
"primary": true
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "UT",
"license": ".",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.