Active NPI
Baron Harrell
- Family Nurse Practitioner
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10376632-4405
- Practice address
- 5475 S 500 E
Ogden, UT 84405-6905 - Phone
- (801) 479-2111
- NPI assigned
- Jan 29, 2022
- Last updated
- Jun 30, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10376632-4405 | UT | Primary |
| Family Medicine Physician | 207Q00000X | 10376632-4405 | UT |
Addresses
Primary practice location
5475 S 500 E
Ogden, UT 84405-6905
Mailing address
1806 N 400 W
North Ogden, UT 84414-7292
Phone (801) 388-0832
Other practice location 1
1600 W Antelope Dr
Layton, UT 84041-1142
Phone (801) 807-1000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 W Antelope Dr
Layton, UT 84041-1142
Phone (801) 807-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Integrated Care, LLC | Current | Accepting new patients |
Locations
1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000
2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911
3451 W 5600 S
Roy, UT 84067
Phone (801) 896-5600
333 N 300 W
Salt Lake City, UT 84103
Phone (801) 463-7415
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1518610641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 N 400 W",
"city": "NORTH OGDEN",
"state": "UT",
"postal_code": "844147292",
"telephone_number": "801-388-0832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 S 500 E",
"city": "OGDEN",
"state": "UT",
"postal_code": "844056905",
"telephone_number": "801-479-2111"
}
],
"practiceLocations": [
{
"address_1": "1600 W Antelope Dr",
"address_purpose": "LOCATION",
"city": "Layton",
"state": "UT",
"postal_code": "840411142",
"country_code": "US",
"telephone_number": "801-807-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRELL",
"first_name": "BARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-29",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "10376632-4405",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "10376632-4405",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.