Marissa Ann Dufur, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7870638-4405 Issued in UT

Practice address

4161 N Thanksgiving Way Ste 206
Lehi, UT 84043-4063

Phone

(801) 997-9798

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Traverse Mountain Joint Pain and Spine Specialist LLC

  • Nurse Practitioner
  • Lehi, UT
  • NPI 1982539052
  NPD (past) Authorized official

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1558040675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 N THANKSGIVING WAY STE 206",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840484063",
            "telephone_number": "801-830-0017",
            "fax_number": "385-324-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 N THANKSGIVING WAY STE 206",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434063",
            "telephone_number": "801-997-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFUR",
        "first_name": "MARISSA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "7870638-3102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7870638-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOPL-UTAH",
            "identifier": "7870638-4405",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dry Creek Integrative Medical LLC
• Dry Creek Pediatric Dentistry
• Dry Creek Pharmacy LLC
• Dry Creek Physical Therapy & Wellness PLLC
• Dry Creek Therapy and Wellness
• Kathryn A Duncan, C.R.N.A.
• Hannah Dunford, C.P.M.
• Macie Ann Dungan Hermosilla, OTD, OTR/L
• Roger Norman Durfey, MS MFT
• Broc A Durrant, MD

• Family Nurse Practitioner in Lehi, UT
• Providers in Lehi, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.