Active NPI
Natalie Mae Stapp
- Physician Assistant
- Provo, UT
National Provider Identifier
1720725930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 116272121206
- Practice address
- 122 E 1700 S BLDG 3
Provo, UT 84606-5644 - Phone
- (801) 472-3902
- NPI assigned
- May 18, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 116272121206 | UT | Primary |
Addresses
Primary practice location
122 E 1700 S BLDG 3
Provo, UT 84606-5644
Mailing address
122 E 1700 S BLDG 3
Provo, UT 84606-5644
Phone (801) 375-5125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116272121206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Care Pediatrics Inc. | Past | Accepting new patients |
Interoperability endpoints
- natalie.stapp.1@3391.direct.athenahealth.com
- natalie.stapp.1@30414.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Salt Lake City, UT
- NPI 1477733509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1720725930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E 1700 S BLDG 3",
"city": "PROVO",
"state": "UT",
"postal_code": "846065644",
"telephone_number": "801-375-5125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E 1700 S BLDG 3",
"city": "PROVO",
"state": "UT",
"postal_code": "846065644",
"telephone_number": "801-472-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPP",
"first_name": "NATALIE",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "116272121206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.