Tara Dawn Colledge, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

48497794405 Issued in UT

Practice address

5587 W Hidden Dr
Highland, UT 84003-9139

Phone

(801) 836-0628

NPI assigned

Jul 12, 2023

Sex

Female

Sole proprietor

No

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

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Family Medical 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• American Fork Hospital Hospital, American Fork, UT, CCN 460023

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Premier Family Medical

  • Family Medicine Physician
  • Pleasant Grove, UT
  • NPI 1750725735

  UT

  Medicare reassignment Care Compare group NPD
• Premier Family Medical - City Center

  • Family Medicine Physician
  • Eagle Mountain, UT
  • NPI 1649160235
  NPD
• Premier Family Medical - Saratoga Springs

  • Family Medicine Physician
  • Saratoga Springs, UT
  • NPI 1477997450
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Provo, UT
  • NPI 1114025491

  Hospital

  Care Compare affiliation
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • American Fork, UT
  • NPI 1912014358

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1689353146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W 200 N",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "840425009",
            "telephone_number": "801-836-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5587 W HIDDEN DR",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039139",
            "telephone_number": "801-836-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLEDGE",
        "first_name": "TARA",
        "middle_name": "DAWN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "48497794405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Kaye Christensen, COTA
• Scott David Christensen, PT
• Katherine Jourdan Church, NP
• Hannah Clark, RN
• Shannon Clauson, MFT
• John William Collins, DMD
• Joseph M Corak, RPH
• Courage Reins
• Jeffery Crockett, DC
• Krystal Dagley

• All providers in Highland, UT
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.