Raeleen Orme, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

198259-4405 Issued in UT

Practice address

210 W 300 N
#75-3
Roosevelt, UT 84066-2336

Phone

(435) 722-6130

Fax

(435) 725-2033

NPI assigned

Aug 23, 2011

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

Enrolled in TX

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

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.

• DHHS IHS Phoenix Area

  • Federal Public Health Clinic/Center
  • Fort Duchesne, UT
  • NPI 1518244086

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1689954505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 PARK RIDGE DR",
            "address_2": "#512-2",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840663902",
            "telephone_number": "435-452-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W 300 N",
            "address_2": "#75-3",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840662336",
            "telephone_number": "435-722-6130",
            "fax_number": "435-725-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORME",
        "first_name": "RAELEEN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "198259-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeastern Utah Medical Group
• Novo Ranch LLC
• Christopher Timbrell Oborn, MS, LCMHC, CCT-P,NCC
• Douglas Collin Ogden, DDS
• Canela F Oldroyd
• Bryce S Pace
• Gregory George Page, DDS
• Jeremy M Patton
• Sean David Paulsen, M.D.
• Cody Wayne Pearson, DPT

• Family Nurse Practitioner in Roosevelt, UT
• Providers in Roosevelt, 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 Aug 23, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.