Mayra Yvette Perry

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12101197-4405 Issued in UT

Practice address

3435 E Pony Express Pkwy Ste 140
Eagle Mountain, UT 84005-5548

Phone

(801) 789-2444

NPI assigned

Nov 28, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1764288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1659233682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4577 E HARVEST CROP DR",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 E PONY EXPRESS PKWY STE 140",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055548",
            "telephone_number": "801-789-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MAYRA",
        "middle_name": "YVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-28",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12101197-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Lyn Ott, FNP
• Shayli Ouch, RN
• Darren Guy Pain
• Deejay Pasikala
• Kimmy Pearson, LMT
• Brooke N Peterson, CSW
• Jason Trent Peterson, OD
• Lacey Jean Peterson, LCSW
• Sadie N Pfister
• Pioneer Drug LLC (Cedar Valley Pharmacy)

• Family Nurse Practitioner in Eagle Mountain, UT
• Providers in Eagle Mountain, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.