Individual provider Active NPI

McKenzie Lynn Sowards, FNP/AGACNP-BC

  • Family Nurse Practitioner
  • Price, UT
National Provider Identifier
1679256176
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
134809134405 Issued in UT
Practice address
317 E 100 N
Price, UT 84501-2504
Phone
(435) 637-5061
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 134809134405 UT Primary

Addresses

Primary practice location

317 E 100 N
Price, UT 84501-2504

Mailing address

1115 N 300 E
Price, UT 84501-1861
Phone (719) 298-0243

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
I20230830001999 UT Practitioner - Nurse Practitioner 3779946397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Castleview Physician Practice LLCGroup PAC ID 6305995598, 17 clinicians

Practice addresses (Care Compare)

317 E 100
Price, UT 84501-2504
Phone (435) 637-3584

Hospital & facility affiliations

  • Castleview Hospital Hospital, Price, UT, CCN 460011

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134809134405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Castleview Physician Practice, LLC CurrentSince Sep 1, 2023 Accepting new patients
Castleview Physician Practices, LLC CurrentSince Sep 1, 2023 Accepting new patients
Castleview Physician Practice LLC Current Accepting new patients
Castleview Physician Practices, LLC Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

317 E 100 N
Price, UT 84501
Phone (435) 637-3584

945 W Hospital Dr
Ste 1
Price, UT 84501
Phone (435) 637-4327

317 E 100 N
Ste 4
Price, UT 84501
Phone (435) 637-6337

Interoperability endpoints

  • Direct secure messaging: mckenzie.sowards.1@19848.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1679256176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 N 300 E",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845011861",
            "telephone_number": "719-298-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E 100 N",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012504",
            "telephone_number": "435-637-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWARDS",
        "first_name": "MCKENZIE",
        "middle_name": "LYNN",
        "credential": "FNP/AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "134809134405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

Verify at the official NPI Registry.