Active NPI
Abby Gail Harris, MDA, RDN
- Registered Dietitian
- Provo, UT
National Provider Identifier
1659223287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 14255308-4901
- Practice address
- 1407 N 3500 W
Provo, UT 84601-6213 - Phone
- (435) 421-4637
- NPI assigned
- Feb 14, 2026
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 14255308-4901 | UT | Primary |
Addresses
Primary practice location
1407 N 3500 W
Provo, UT 84601-6213
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other practice location 1
454 E Medical Way
Heber City, UT 84032-1391
Phone (435) 658-6738
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Bluemark LLC/ Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 27128
Salt Lake City, UT 84127
PO Box
Suite 30180
Salt Lake City, UT 84130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14255308-4901 | UT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1659223287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30180",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 N 3500 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846016213",
"telephone_number": "435-421-4637"
}
],
"practiceLocations": [
{
"address_1": "454 E Medical Way",
"address_purpose": "LOCATION",
"city": "Heber City",
"state": "UT",
"postal_code": "840321391",
"country_code": "US",
"telephone_number": "435-658-6738",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "ABBY",
"middle_name": "GAIL",
"credential": "MDA, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-14",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "14255308-4901",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC/ Office Ally",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.