Individual provider Active NPI

Natalie Park, FNP-C

  • Nurse Practitioner
  • Provo, UT
National Provider Identifier
1720938905
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
14267489-4405 Issued in UT
Practice address
1973 N State St
Provo, UT 84604-1012
Phone
(801) 373-2499
NPI assigned
Jan 29, 2026
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 14267489-4405 UT Primary

Addresses

Primary practice location

1973 N State St
Provo, UT 84604-1012

Mailing address

847 N 800 E
Nephi, UT 84648-1309
Phone (435) 660-1155

Other practice location 1

48 W 1500 N
Nephi, UT 84648-8900
Phone (801) 373-2499

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
I20260310002423 UT Practitioner - Nurse Practitioner 8628551579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Foot and Ankle Clinic PCGroup PAC ID 8426087263, 2 clinicians

Practice addresses (Care Compare)

1973 N State St
Provo, UT 84604-1012
Phone (801) 373-2499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14267489-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Foot and Ankle Clinic PC CurrentSince Feb 1, 2026 Accepting new patients
Cascade Foot and Ankle Clinic PC Nurse Practitioner CurrentSince Feb 1, 2026 Accepting new patients

Locations

48 W 1500 N
Nephi, UT 84648
Phone (435) 623-3000

1973 N State St
Provo, UT 84604
Phone (801) 373-2499

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1720938905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 N 800 E",
            "city": "NEPHI",
            "state": "UT",
            "postal_code": "846481309",
            "telephone_number": "435-660-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 N STATE ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041012",
            "telephone_number": "801-373-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 W 1500 N",
            "address_purpose": "LOCATION",
            "city": "Nephi",
            "state": "UT",
            "postal_code": "846488900",
            "country_code": "US",
            "telephone_number": "801-373-2499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "NATALIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "14267489-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.