NPIMap

Individual provider Active NPI

Rebecka Davis Chandler, PA-C

  • Physician Assistant
  • Salt Lake City, UT
National Provider Identifier
1487922266
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8121398-1206 Issued in UT
Practice address
1280 E Stringham Ave
Salt Lake City, UT 84106-2490
Phone
(801) 581-2000
Fax
(801) 585-2891
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8121398-1206 UT Primary

Addresses

Primary practice location

1280 E Stringham Ave
Salt Lake City, UT 84106-2490

Mailing address

2287 S 2060 W
Woods Cross, UT 84087-2801
Phone (801) 440-5111

Other practice location 1

30 N 1900 E # E14
Salt Lake City, UT 84132-0744
Phone (801) 213-2700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RCHANDLER176034@DIRECT.MED.UTAH.EDU Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120116000009 UT Practitioner - Physician Assistant 5890962815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Utah School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians

Practice addresses (Care Compare)

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 213-2995

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8121398-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Sep 19, 2023 Accepting new patients
University of Utah Adult Services CurrentSince Sep 19, 2023 Accepting new patients
After Hours Medical LLC, Dba Medallus Medical CurrentSince Jun 10, 2015 Accepting new patients
Bronson Lakeview Hospital Past Accepting new patients

Locations

1126 E Draper Pkwy
Draper, UT 84020
Phone (801) 545-0600

165 N University Ave
Farmington, UT 84025
Phone (801) 213-3200

1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841

7998 S 1300 E
Sandy, UT 84094
Phone (801) 255-2000

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: rchandler176034@direct.med.utah.edu
  • Direct secure messaging: rchandler16753@direct.med.utah.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1487922266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2287 S 2060 W",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840872801",
            "telephone_number": "801-440-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 E STRINGHAM AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062490",
            "telephone_number": "801-581-2000",
            "fax_number": "801-585-2891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N 1900 E # E14",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320744",
            "country_code": "US",
            "telephone_number": "801-213-2700",
            "fax_number": "801-585-2891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "REBECKA",
        "middle_name": "DAVIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "8121398-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RCHANDLER176034@DIRECT.MED.UTAH.EDU",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.