Individual provider Active NPI

Tiffani Jane Guymon, APRN, CNM, WHNP-BC

  • Advanced Practice Midwife
  • Orem, UT
National Provider Identifier
1689237745
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4924271 Issued in UT
Practice address
527 W 400 N Ste 4
Orem, UT 84057-1951
Phone
(801) 404-5588
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 4924271-4405 UT
Advanced Practice Midwife 367A00000X 4924271 UT Primary

Addresses

Primary practice location

527 W 400 N Ste 4
Orem, UT 84057-1951

Mailing address

585 N 500 W
Provo, UT 84601-1548
Phone (801) 374-1801

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200309002570 UT Practitioner - Certified Nurse Midwife (CNM) 5092143891 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
4924271-4405UTMDObstetrics & Gynecology Nurse Practitioner
4924271UTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, P.C. Advanced Practice Midwife CurrentSince Mar 2, 2020 Accepting new patients
Valley Obstetrics and Gynecology, PC Current Accepting new patients
Valley Obstetrics and Gynecology Advanced Practice Midwife CurrentSince Mar 2, 2020 Accepting new patients
Valley Obstetrics and Gynecology, PC Past Accepting new patients
Valley Obstetrics and Gynecology, P.C. Past Accepting new patients

Locations

700 W 800 N
Ste 200
Orem, UT 84057
Phone (801) 229-2229

527 W 400 N
Ste 4
Orem, UT 84057
Phone (801) 225-9991

527 W 400 N
Orem, UT 84057
Phone (801) 221-0281

1055 N 300 W
Ste 108
Provo, UT 84604
Phone (801) 357-7190

585 N 500 W
Ste 500
Provo, UT 84601

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

692 E Market Place Dr
Ste 300
Spanish Fork, UT 84660

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.702

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1689237745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011548",
            "telephone_number": "801-374-1801",
            "fax_number": "801-216-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 W 400 N STE 4",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571951",
            "telephone_number": "801-404-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYMON",
        "first_name": "TIFFANI",
        "middle_name": "JANE",
        "credential": "APRN, CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "UT",
            "license": "4924271-4405",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "4924271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.