Individual provider Active NPI

Alyssa Vest, APRN FNP-C

  • Family Nurse Practitioner
  • Spanish Fork, UT
National Provider Identifier
1497104368
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5855361-8900 Issued in UT
Practice address
468 S Main St
Spanish Fork, UT 84660-2410
Phone
(801) 504-6117
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5855361-8900 UT Primary

Addresses

Primary practice location

468 S Main St
Spanish Fork, UT 84660-2410

Mailing address

468 S Main St
Spanish Fork, UT 84660-2410
Phone (801) 504-6117

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
I20160919001219 UT Practitioner - Nurse Practitioner 7719274893

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5855361-8900UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health Family Practice, PLLC CurrentSince Jul 1, 2019 Accepting new patients

Locations

75 S 200 E
Ste 100
Provo, UT 84606
Phone (801) 844-1615

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1497104368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 S MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602410",
            "telephone_number": "801-504-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 S MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602410",
            "telephone_number": "801-504-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEST",
        "first_name": "ALYSSA",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5855361-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

Verify at the official NPI Registry.