Naomi Nicole Weida, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12677395-4405 Issued in UT

Practice address

120 S Padre Canyon Drive
Ivins, UT 84738

Phone

(435) 236-5887

NPI assigned

Mar 31, 2025

Last updated

Mar 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1679376883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S PADRE CANYON DR",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "847386022",
            "telephone_number": "435-236-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S PADRE CANYON DRIVE",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "84738",
            "telephone_number": "435-236-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDA",
        "first_name": "NAOMI",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12677395-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Thornock
• Mark Lee Wardle, D.O.
• Stefani Dianne Watson, MS CCC-A
• Adam Boyd Webb, PT
• Kaitlin Webster, DPT
• Alina Erenne Wilson
• Gretchen Wiltbank, CMHC
• Ka Wai Wu
• WWB
• Clel Edward Zeigler, PTA

• Family Nurse Practitioner in Ivins, UT
• Providers in Ivins, 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 Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.