Individual provider Active NPI

Virginia Miriam Glifort, CNM

  • Advanced Practice Midwife
  • American Fork, UT
National Provider Identifier
1598778771
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
10195953-4402 Issued in UT
Practice address
1248 E 90 N Ste 300
American Fork, UT 84003-2956
Phone
(801) 756-9635
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 513 AK
Advanced Practice Midwife 367A00000X 10195953-4402 UT Primary

Addresses

Primary practice location

1248 E 90 N Ste 300
American Fork, UT 84003-2956

Mailing address

585 N 500 W
Provo, UT 84601-1548
Phone (801) 374-1801

Other practice location 1

3943 Pony Express Parkway
110 A
Eagle Mountain, UT 84005-5541
Phone (801) 756-5288

Other practice location 2

1886 W 800 N
Pleasant Grove, UT 84062-4097
Phone (801) 756-5288

Other identifiers 1

IdentifierTypeStateIssuer
NP05131MedicaidAK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medreview@reverehealth.com

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180201001573 UT Practitioner - Certified Nurse Midwife (CNM) 5496735482 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
10195953-4402UTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, P.C. Advanced Practice Midwife CurrentSince Sep 9, 2020 Accepting new patients
Valley Obstetrics and Gynecology, PC CurrentSince Sep 9, 2020 Accepting new patients
Valley Obstetrics and Gynecology, PC Current Accepting new patients
Valley Obstetrics and Gynecology, P.C. Past Accepting new patients

Locations

1248 E 90 N
Ste 300
American Fork, UT 84003
Phone (801) 756-1157

3000 N Triumph Blvd
Ste 210
Lehi, UT 84043
Phone (801) 374-1801

585 N 500 W
Ste 500
Provo, UT 84601

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

118 E Thrive Dr
Saratoga Springs, UT 84045
Phone (801) 407-1599

118 E Thrive Dr
Ste 200
Saratoga Springs, UT 84045
Phone (801) 756-1577

Organizations & group practices 4

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1598778771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011548",
            "telephone_number": "801-374-1801",
            "fax_number": "801-216-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 E 90 N STE 300",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032956",
            "telephone_number": "801-756-9635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3943 Pony Express Parkway",
            "address_2": "110 A",
            "address_purpose": "LOCATION",
            "city": "Eagle Mountain",
            "state": "UT",
            "postal_code": "840055541",
            "country_code": "US",
            "telephone_number": "801-756-5288",
            "fax_number": "801-756-7589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1886 W 800 N",
            "address_purpose": "LOCATION",
            "city": "Pleasant Grove",
            "state": "UT",
            "postal_code": "840624097",
            "country_code": "US",
            "telephone_number": "801-756-5288",
            "fax_number": "801-756-7589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLIFORT",
        "first_name": "VIRGINIA",
        "middle_name": "MIRIAM",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "513",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "10195953-4402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP05131",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "address_1": "1886 W 800 N",
            "city": "Pleasant Grove",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840624097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.