Individual provider Active NPI

Nancy Narrod Pantziris, M.D.

  • Psychiatry Physician
  • Bountiful, UT
National Provider Identifier
1578618856
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
188122-1205 Issued in UT
Practice address
535 E 500 S
Suite 6
Bountiful, UT 84010-3873
Phone
(801) 292-2986
NPI assigned
Jan 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 188122-1205 UT Primary

Addresses

Primary practice location

535 E 500 S
Suite 6
Bountiful, UT 84010-3873

Mailing address

535 E 500 S
Suite 6
Bountiful, UT 84010-3873
Phone (801) 292-2986

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080922000195 UT Practitioner - Psychiatry 9335216183 Practice locations: Bountiful, UT

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albert Einstein College of Medicine of Yeshiva University, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

535 E 500
Suite 6
Bountiful, UT 84010-3876
Phone (801) 292-2986

535 E 500 S
Suite 6
Bountiful, UT 84010-3876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
188122-1205UTMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578618856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E 500 S",
            "address_2": "SUITE 6",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840103873",
            "telephone_number": "801-292-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E 500 S",
            "address_2": "SUITE 6",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840103873",
            "telephone_number": "801-292-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTZIRIS",
        "first_name": "NANCY",
        "middle_name": "NARROD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "188122-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.