Active NPI
Erika Noonan, M.D.
- Family Medicine Physician
- Heber City, UT
National Provider Identifier
1689848178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 73977211205
- Practice address
- 150 N Main St Ste 205
Heber City, UT 84032-1671 - Phone
- (435) 565-1286
- Fax
- (435) 800-1286
- NPI assigned
- Apr 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 73977211205 | UT | Primary |
Addresses
Primary practice location
150 N Main St Ste 205
Heber City, UT 84032-1671
Mailing address
150 N Main St Ste 205
Heber City, UT 84032-1671
Phone (435) 565-1286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689848178 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73977211205 | UT | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1689848178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N MAIN ST STE 205",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840321671",
"telephone_number": "435-565-1286",
"fax_number": "435-800-1286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N MAIN ST STE 205",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840321671",
"telephone_number": "435-565-1286",
"fax_number": "435-800-1286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONAN",
"first_name": "ERIKA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "73977211205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689848178",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Heber City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.