Individual provider Active NPI

Hollie Carter, FNP-BC

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1689322141
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10342832-4405 Issued in UT
Practice address
3115 E Lion LN Ste 160
Salt Lake City, UT 84121-3514
Phone
(855) 255-1750
Fax
(855) 255-0905
NPI assigned
Mar 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10342832-4405 UT
Family Nurse Practitioner 363LF0000X 10342832-4405 UT Primary

Addresses

Primary practice location

3115 E Lion LN Ste 160
Salt Lake City, UT 84121-3514

Mailing address

47 N 500 E
Kaysville, UT 84037-2115
Phone (801) 682-6435

Other practice location 1

47 N 500 E
Kaysville, UT 84037-2115
Phone (801) 682-6435

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
I20220811001453 UT Practitioner - Nurse Practitioner 4789067596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Wound Healing PSGroup PAC ID 2860794070, 32 clinicians

Practice addresses (Care Compare)

2750 N Digital Dr
Lehi, UT 84043-6651
Phone (855) 255-1750

Merit-based Incentive Payment System (MIPS)

Final score
88.56 of 100Reported as group
Quality
71.73
Improvement activities
40
Cost
80.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10342832-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Wound Healing PS Nurse Practitioner CurrentSince Jun 20, 2022 Accepting new patients
United Wound Healing Accountable Care Consultants PLLC Family PastSince Apr 1, 2022 Accepting new patients

Locations

2750 N Digital Dr
Lehi, UT 84043
Phone (385) 374-5600

3115 E Lion Ln
Ste 160
Salt Lake City, UT 84121
Phone (435) 649-4139

2825 E Cottonwood Pkwy
Ste 500
Salt Lake Cty, UT 84121
Phone (801) 653-3111

2913 5th Ave NE
Ste 101
Puyallup, WA 98372
Phone (253) 905-0646

Organizations & group practices 2

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": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1689322141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 N 500 E",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840372115",
            "telephone_number": "801-682-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 E LION LN STE 160",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213514",
            "telephone_number": "855-255-1750",
            "fax_number": "855-255-0905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 N 500 E",
            "address_purpose": "LOCATION",
            "city": "Kaysville",
            "state": "UT",
            "postal_code": "840372115",
            "country_code": "US",
            "telephone_number": "801-682-6435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "HOLLIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "10342832-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10342832-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.