Active NPI
Christian Degrey, FNP-C
- Family Nurse Practitioner
- Provo, UT
National Provider Identifier
1508292780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7216842-4405
- Practice address
- 280 River Park Dr
200
Provo, UT 84604-5764 - Phone
- (801) 223-4860
- NPI assigned
- Sep 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7216842-4405 | UT | Primary |
Addresses
Primary practice location
280 River Park Dr
200
Provo, UT 84604-5764
Mailing address
280 River Park Dr
200
Provo, UT 84604-5764
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
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palliative Care for Utah LLC | Current | Accepting new patients |
Locations
11639 S 700 E
Ste 100
Draper, UT 84020
Phone (801) 576-1455
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.
-
- In Home Supportive Care Agency
- Murray, UT
- NPI 1932633997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450051200000",
"number": "1508292780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 RIVER PARK DR",
"address_2": "200",
"city": "PROVO",
"state": "UT",
"postal_code": "846045764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 RIVER PARK DR",
"address_2": "200",
"city": "PROVO",
"state": "UT",
"postal_code": "846045764",
"telephone_number": "801-223-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGREY",
"first_name": "CHRISTIAN",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-19",
"last_updated": "2015-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "7216842-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.