Active NPI
Stephany Reese, APRN
- Nurse Practitioner
- American Fork, UT
National Provider Identifier
1508327222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 8377586-4405
- Practice address
- 119 S Pacific Dr Ste 102
American Fork, UT 84003-2399 - Phone
- (801) 477-7294
- NPI assigned
- Mar 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 8377586-4405 | UT | Primary |
Addresses
Primary practice location
119 S Pacific Dr Ste 102
American Fork, UT 84003-2399
Mailing address
119 S Pacific Dr Ste 102
American Fork, UT 84003-2399
Phone (801) 477-7294
Other names 1
- Stephany Mayer
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8377586-4405 | UT | MD | Nurse Practitioner |
Interoperability endpoints
- stephany.reese@495121097293828.direct.elationemr.com
- smayer110102@direct.ohsu.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1508327222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 S PACIFIC DR STE 102",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032399",
"telephone_number": "801-477-7294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 S PACIFIC DR STE 102",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032399",
"telephone_number": "801-477-7294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "STEPHANY",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "8377586-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANY",
"last_name": "MAYER",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.