Individual provider Active NPI

Rebecca B Crosby

  • Family Medicine Physician
  • Lehi, UT
National Provider Identifier
1578047718
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10973560-4405 Issued in UT
Practice address
61 W 3200 N
Lehi, UT 84043-2381
Phone
(385) 352-0404
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10973560-4405 UT Primary

Addresses

Primary practice location

61 W 3200 N
Lehi, UT 84043-2381

Mailing address

3190 Piute Dr
Provo, UT 84604-4810
Phone (515) 451-6811

Other practice location 1

3190 Piute Dr
Provo, UT 84604-4810
Phone (515) 451-6811

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10973560-4405UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham Young University Past Accepting new patients
Brigham Young University Family Medicine Past Accepting new patients
Health Plus Clinic, Inc. Family Medicine PastSince Aug 7, 2017 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1578047718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 PIUTE DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044810",
            "telephone_number": "515-451-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 W 3200 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432381",
            "telephone_number": "385-352-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3190 Piute Dr",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846044810",
            "country_code": "US",
            "telephone_number": "515-451-6811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "REBECCA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "10973560-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.