Individual provider Active NPI

Amber Hawk, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverton, UT
National Provider Identifier
1679204176
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5977222-4405 Issued in UT
Practice address
1272 W 12700 S Ste C
Riverton, UT 84065-1644
Phone
(385) 458-8572
Fax
(888) 496-9135
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5977222-4405 UT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5977222-4405 UT Primary

Addresses

Primary practice location

1272 W 12700 S Ste C
Riverton, UT 84065-1644

Mailing address

5526 W 13400 S # 345
#345
Herriman, UT 84096-6919
Phone (801) 931-8073

Other practice location 1

1654 W Reunion Ave
South Jordan, UT 84095-4676
Phone (801) 349-2480

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
I20220919001910 UT Practitioner - Nurse Practitioner 4183009707 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5977222-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Psychiatry and Wellness PLLC Family CurrentSince Dec 7, 2025 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Jul 20, 2022 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Jul 20, 2022 Accepting new patients
Dynamic Psychiatry PLLC PastSince Jan 26, 2022 Accepting new patients
Dynamic Psychiatry & Wellness PastSince Jul 22, 2025 Accepting new patients

Locations

5526 W 13400 S
Herriman, UT 84096
Phone (385) 786-0692

5505 S 900 E
Ste 240
Murray, UT 84117
Phone (801) 406-9601

1272 W 12700 S
Ste C
Riverton, UT 84065
Phone (385) 458-8572

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1679204176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5526 W 13400 S # 345",
            "address_2": "#345",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840966919",
            "telephone_number": "801-931-8073",
            "fax_number": "888-496-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 W 12700 S STE C",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840651644",
            "telephone_number": "385-458-8572",
            "fax_number": "888-496-9135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1654 W Reunion Ave",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840954676",
            "country_code": "US",
            "telephone_number": "801-349-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWK",
        "first_name": "AMBER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5977222-4405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "5977222-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

Verify at the official NPI Registry.