Active NPI
Joan Karen Van Atta, APRN
- Adult Health Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1497768279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 215559-4405
- Practice address
- 1950 Circle of Hope
HCH 5TH Floor
Salt Lake City, UT 84112-5550 - Phone
- (801) 585-0100
- Fax
- (801) 585-7902
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 215559-4405 | UT | |
| Adult Health Nurse Practitioner | 363LA2200X | 215559-4405 | UT | Primary |
Addresses
Primary practice location
1950 Circle of Hope
HCH 5TH Floor
Salt Lake City, UT 84112-5550
Mailing address
127 S 500 E Ste 600
Salt Lake City, UT 84102-1971
Phone (801) 587-6705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497768279 | Medicaid | UT | |
| 807008300 | Medicaid | ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jvanatta37034@direct.med.utah.edu | Direct | UNIVERSITY OF UTAH |
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)
- Enrolled
Interoperability endpoints
- jvanatta37034@direct.med.utah.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1497768279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 S 500 E STE 600",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021971",
"telephone_number": "801-587-6705",
"fax_number": "801-715-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 CIRCLE OF HOPE",
"address_2": "HCH 5TH FLOOR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841125550",
"telephone_number": "801-585-0100",
"fax_number": "801-585-7902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN ATTA",
"first_name": "JOAN",
"middle_name": "KAREN",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "215559-4405",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "UT",
"license": "215559-4405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497768279",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807008300",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jvanatta37034@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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.