Eileen Marie Amari-Vaught, ARNP
Individual provider Active NPI Family Nurse Practitioner · Orem, UT
NPI 1740464197 · NPPES record last updated Nov 1, 2021
Key facts
- NPI
- 1740464197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11393283-4405 (UT)
- Practice address
- 800 W University Pkwy # 200
Orem, UT 84058-6703 - Phone
- (801) 863-8397
- NPI assigned
- Dec 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Revere Health PC
Practice addresses (Care Compare)
555 W Sr
Suite 164
Salem, UT 84653
Phone (801) 465-4813
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211104002363 | UT | Practitioner - Nurse Practitioner | 3577635416 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46103 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Health PC | Current |
Accepting new patients | |
| Revere Health PC | Current |
Accepting new patients | |
| Ku Health Partners, Inc | Family Medicine | Past | Accepting new patients |
Locations
4095 E Pony Express Pkwy
Ste 1
Eagle Mountain, UT 84005
Phone (801) 429-8037
1055 N 500 W
Bldg A
Provo, UT 84604
Phone (801) 418-0800
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
555 W State Road 164
Salem, UT 84653
Phone (801) 465-4896
972 N 600 E
Spanish Fork, UT 84660
Phone (385) 265-6060
Interoperability endpoints
- eileenamari-vaught@cuccu.allscriptsdirect.net
- eileen.amari-vaught.1@17226.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 46103 | KS | |
| Family Nurse Practitioner | 363LF0000X | 11393283-4405 | UT | Yes |
Addresses
Primary practice location
800 W University Pkwy # 200
Orem, UT 84058-6703
Mailing address
1055 N 500 W
Provo, UT 84604-3305
Phone (801) 354-8225
Other practice location 1
4095 E Pony Express Pkwy Ste 1
Eagle Mountain, UT 84005
Phone (801) 429-8037
Other practice location 2
972 N 600 E
Spanish Fork, UT 84660
Phone (385) 265-6060
Other practice location 3
555 W Sr 164
Salem, UT 84653
Phone (801) 465-4896
Other practice location 4
1055 N 500 W Bldg A
Provo, UT 84604
Phone (801) 812-5033
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medreview@reverehealth.com | Revere Health PC |
Other providers in Orem, UT
- Ashley Nicole Alvarez
- Moroni Ruiz Alvarez
- Patrick Alverson
- Kelly Alvord
- Isaac Amado
- Christine Amaya
- America'S Best Contacts & Eyeglasses
- American Current Care PA
- Francisco Xavier Ampuero
- Holly Kaye Ancell
All providers in Orem, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.