Active NPI
Nikayla Dibble, NP
- Nurse Practitioner
- Tooele, UT
National Provider Identifier
1619861150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11347758-4405
- Practice address
- 2356 N 400 E Ste 202
Tooele, UT 84074-3409 - Phone
- (435) 843-8380
- NPI assigned
- Jun 9, 2025
- Last updated
- Jun 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11347758-4405 | UT | Primary |
Addresses
Primary practice location
2356 N 400 E Ste 202
Tooele, UT 84074-3409
Mailing address
5661 N Brambling Way
Stansbury Park, UT 84074-4939
Phone (435) 841-0745
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11347758-4405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- nikayla.dibble.1@31651.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1619861150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5661 N BRAMBLING WAY",
"city": "STANSBURY PARK",
"state": "UT",
"postal_code": "840744939",
"telephone_number": "435-841-0745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2356 N 400 E STE 202",
"city": "TOOELE",
"state": "UT",
"postal_code": "840743409",
"telephone_number": "435-843-8380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBBLE",
"first_name": "NIKAYLA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "11347758-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.