Individual provider Active NPI

Stephanie Lee Dupree, ANP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sandy, UT
National Provider Identifier
1487931416
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9074835-4405 Issued in UT
Practice address
45 W Sego Lily Dr Ste 312
Sandy, UT 84070-3643
Phone
(801) 676-9452
NPI assigned
Nov 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9074835-4405 UT Primary

Addresses

Primary practice location

45 W Sego Lily Dr Ste 312
Sandy, UT 84070-3643

Mailing address

45 W Sego Lily Dr Ste 312
Sandy, UT 84070-3643
Phone (801) 676-9452

Other practice location 1

1326 W Stone Meadow Dr
West Jordan, UT 84088-4007
Phone (307) 448-0208

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
I20150924003347 UT Practitioner - Nurse Practitioner 0345409025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anderson Wellness Group LLCGroup PAC ID 9335550631, 15 clinicians

Practice addresses (Care Compare)

45 W Sego Lily Dr
Suite 312
Sandy, UT 84070-3643
Phone (801) 676-9452

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9074835-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dudley Chiropractic & Wellness Center LC CurrentSince May 20, 2013 Accepting new patients
Signify Health, LLC CurrentSince Nov 5, 2024 Accepting new patients
Anderson Wellness Group LLC Psychiatric/Mental Health CurrentSince Aug 28, 2025 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

348 E 4500 S
Ste 220
Salt Lake Cty, UT 84107
Phone (801) 557-7055

2505 E 3300 S
Ste 201
Salt Lake Cty, UT 84109
Phone (801) 359-3995

9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403

45 W Sego Lily Dr
Sandy, UT 84070
Phone (801) 563-9888

45 W Sego Lily Dr
Ste 312
Sandy, UT 84070
Phone (801) 676-9452

1053 E 2100 S
Slc, UT 84106
Phone (801) 359-3955

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1487931416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W SEGO LILY DR STE 312",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703643",
            "telephone_number": "801-676-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W SEGO LILY DR STE 312",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703643",
            "telephone_number": "801-676-9452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1326 W Stone Meadow Dr",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840884007",
            "country_code": "US",
            "telephone_number": "307-448-0208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "STEPHANIE",
        "middle_name": "LEE",
        "credential": "ANP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "9074835-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.