Individual provider Active NPI

Emily Eva Hannah, NURSE PRACTITIONER

  • Family Medicine Physician
  • Provo, UT
National Provider Identifier
1598503716
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10246516-4405 Issued in UT
Practice address
3152 N University Ave Ste 120
Provo, UT 84604-4746
Phone
(801) 375-2177
NPI assigned
Jul 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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 10246516-4405 UT Primary

Addresses

Primary practice location

3152 N University Ave Ste 120
Provo, UT 84604-4746

Mailing address

1065 N 100 E
American Fork, UT 84003-1265
Phone (509) 768-6797

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
I20250203001960 UT Practitioner - Nurse Practitioner 5193254381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

10968 N Alpine Hwy
Highland, UT 84003-8874
Phone (801) 763-2900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10246516-4405UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Family Medicine CurrentSince Mar 3, 2025 Accepting new patients
Ihc Health Services, Inc. CurrentSince Mar 3, 2025 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

98 N 1100 E
Ste 402
American Fork, UT 84003
Phone (801) 492-2320

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

10968 N Alpine Hwy
Highland, UT 84003
Phone (801) 763-2900

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1598503716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 N 100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031265",
            "telephone_number": "509-768-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 N UNIVERSITY AVE STE 120",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044746",
            "telephone_number": "801-375-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAH",
        "first_name": "EMILY",
        "middle_name": "EVA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "10246516-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.