Active NPI
Yvonne K Marley, PA C
- Physician Assistant
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 34195
- Practice address
- 1338 S Foothill Dr # 333
Salt Lake City, UT 84108-2321 - Phone
- (801) 754-6051
- Fax
- (801) 210-0476
- NPI assigned
- Jul 6, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3153 | AZ | |
| Physician Assistant | 363A00000X | 055-0031003 | VT | |
| Physician Assistant | 363A00000X | 34195 | MT | Primary |
| Physician Assistant | 363A00000X | 748 | NH |
Addresses
Primary practice location
1338 S Foothill Dr # 333
Salt Lake City, UT 84108-2321
Mailing address
1338 S Foothill Dr # 333
Salt Lake City, UT 84108-2321
Phone (801) 754-6051
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmarley7291309@direct.sanfordhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000
Hospital & facility affiliations
- Kaiser Foundation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 748 | NH | MD | Mental Health Counselor |
| 3153 | AZ | MD | Dentist |
| 0748 | NH | MD | Occupational Therapy Assistant |
| 34195 | MT | MD | Physician Assistant |
| 055-0031003 | VT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belgrade Clinic PLLP | Current | Accepting new patients | |
| HMC Medical Center, LLC | Past | Accepting new patients |
Locations
1805 Oak St
Ste 3
Bozeman, MT 59715
Phone (406) 414-4890
1006 W Main St
Bozeman, MT 59715
Phone (406) 414-4800
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Honolulu, HI
- NPI 1710945969
-
- Urgent Care Clinic/Center
- Kailua, HI
- NPI 1558753749
-
- Family Medicine Physician
- Belgrade, MT
- NPI 1447280912
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1194754358
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1396813861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1477584415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1338 S FOOTHILL DR # 333",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841082321",
"telephone_number": "801-754-6051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1338 S FOOTHILL DR # 333",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841082321",
"telephone_number": "801-754-6051",
"fax_number": "801-210-0476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLEY",
"first_name": "YVONNE",
"middle_name": "K",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "3153",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VT",
"license": "055-0031003",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "34195",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "748",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmarley7291309@direct.sanfordhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "915 Highland Blvd",
"city": "Bozeman",
"state": "MT",
"country_code": "US",
"postal_code": "597156902",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.