Active NPI
Theresa Gillespie, PA
- Physician Assistant
- Murray, UT
National Provider Identifier
1669669388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5140165-1206
- Practice address
- 5323 S Woodrow Street
Suite 200
Murray, UT 84107-5841 - Phone
- (801) 747-1020
- Fax
- (801) 747-1023
- NPI assigned
- Sep 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5140165-1206 | UT | Primary |
Addresses
Primary practice location
5323 S Woodrow Street
Suite 200
Murray, UT 84107-5841
Mailing address
1134 E 3300 S Apt 313
Millcreek, UT 84106-4353
Phone (719) 205-2055
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1669669388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 E 3300 S APT 313",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "841064353",
"telephone_number": "719-205-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 S WOODROW STREET",
"address_2": "SUITE 200",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075841",
"telephone_number": "801-747-1020",
"fax_number": "801-747-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "THERESA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "5140165-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.