Individual provider Active NPI

Camille Elisabeth Last, FNP

  • Family Nurse Practitioner
  • Saratoga Springs, UT
National Provider Identifier
1598412165
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03220085 Issued in UT
Practice address
2661 N Daisy Dr
Saratoga Springs, UT 84045-3211
Phone
(801) 808-3881
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03220085 UT Primary

Addresses

Primary practice location

2661 N Daisy Dr
Saratoga Springs, UT 84045-3211

Mailing address

2661 N Daisy Dr
Saratoga Springs, UT 84045-3211
Phone (801) 808-3881

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220523002066 UT Practitioner - Nurse Practitioner 1355728833 Reassigns benefits to 1 organization

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
South Valley Women'S Health Care PCGroup PAC ID 7810927241, 10 clinicians

Practice addresses (Care Compare)

13825 S Redwood Rd
Suite 200
Bluffdale, UT 84065-5255
Phone (801) 569-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F03220085UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Valley Women'S Health Care, PC CurrentSince May 15, 2022 Accepting new patients

Locations

13825 S Redwood Rd
Ste 200
Bluffdale, UT 84065
Phone (801) 569-2626

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1598412165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 N DAISY DR",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840453211",
            "telephone_number": "801-808-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 N DAISY DR",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840453211",
            "telephone_number": "801-808-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAST",
        "first_name": "CAMILLE",
        "middle_name": "ELISABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "F03220085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, UT

Sources for this page

Verify at the official NPI Registry.