Individual provider Active NPI

Nathan Ferreira

  • Medical Physician Assistant
  • Kaysville, UT
National Provider Identifier
1629543517
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
11443295-1206 Issued in UT
Practice address
61 N Goose Nest Cir
Kaysville, UT 84037-8006
Phone
(801) 497-1117
NPI assigned
Oct 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X 11443295-1206 UT Primary

Addresses

Primary practice location

61 N Goose Nest Cir
Kaysville, UT 84037-8006

Mailing address

265 E 900 S
Layton, UT 84041-4149
Phone (801) 497-1117

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nferreira177741@direct.med.utah.edu Direct UNIVERSITY OF UTAH

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
I20191111001289 UT Practitioner - Physician Assistant 4587096656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tanner Memorial ClinicGroup PAC ID 4284547985, 251 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

2121 N 1700
Layton, UT 84041-8803
Phone (801) 773-4840

425 S 100
Layton, UT 84041-5356
Phone (801) 773-4840

5121 S Cottonwood St
Murray, UT 84107-5701

5131 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 507-3888

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Sep 8, 2019 Accepting new patients
Ihc Health Services Inc CurrentSince Sep 8, 2019 Accepting new patients
University of Utah Community Physicians Group Family Medicine CurrentSince Sep 18, 2020 Accepting new patients
Tanner Memorial Clinic CurrentSince Jan 2, 2020 Accepting new patients
University of Utah Community Physicians Group CurrentSince Sep 18, 2020 Accepting new patients
Rosenberg Cooley Metcalf LC Past Accepting new patients
Ihc Health Services Inc Family Medicine Past Accepting new patients
Tanner Memorial Clinic Past Accepting new patients

Locations

26 S Main St
Centerville, UT 84014
Phone (801) 693-7900

1477 N 2000 W
Ste C
Clinton, UT 84015
Phone (801) 546-9441

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

380 N 400 W
Kaysville, UT 84037
Phone (801) 547-9500

1750 E 3100 N
Layton, UT 84040
Phone (385) 405-2252

425 S 100 W
Layton, UT 84041
Phone (801) 682-8708

7495 S State St
Midvale, UT 84047
Phone (801) 213-9400

3741 W 12600 S
Ste 160A
Riverton, UT 84065

3443 W 5600 S
Roy, UT 84067
Phone (801) 825-6400

5169 S Cottonwood St
Ste 520
Salt Lake City, UT 84107
Phone (801) 507-3555

1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

5126 W Daybreak Pkwy
Ste 600
South Jordan, UT 84009

2038 W 1900 S
Syracuse, UT 84075
Phone (801) 773-7899

Interoperability endpoints

  • Direct secure messaging: nferreira177741@direct.med.utah.edu
  • Direct secure messaging: nathan.ferreira.p1@direct.tannerclinic.nextgenshare.com

Organizations & group practices 9

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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1629543517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E 900 S",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414149",
            "telephone_number": "801-497-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 N GOOSE NEST CIR",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840378006",
            "telephone_number": "801-497-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "11443295-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nferreira177741@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

Verify at the official NPI Registry.