Individual provider Active NPI

Cherilyn Christensen, APRN, FNP-C

  • Family Nurse Practitioner
  • Bountiful, UT
National Provider Identifier
1740965086
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7122214-4405 Issued in UT
Practice address
415 Medical Dr Ste B102
Bountiful, UT 84010-4989
Phone
(801) 683-1062
Fax
(801) 295-5537
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7122214-4405 UT Primary

Addresses

Primary practice location

415 Medical Dr Ste B102
Bountiful, UT 84010-4989

Mailing address

6622 Willow Creek Rd
Mountain Green, UT 84050-6810
Phone (801) 668-5737

Other names 1

  • Cherilyn Crabtree Former name

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
I20260520002651 UT Practitioner - Nurse Practitioner 4385113273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurobehavioral Center for Growth LLCGroup PAC ID 4183859622, 7 clinicians

Practice addresses (Care Compare)

5926 Fashion Point Dr
Suite 120
South Ogden, UT 84403-4547
Phone (801) 683-1062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7122214-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Center for Growth LLC CurrentSince Nov 3, 2019 Accepting new patients

Locations

415 Medical Dr
Ste B102
Bountiful, UT 84010
Phone (385) 275-0492

415 Medical Dr
Ste D101
Bountiful, UT 84010
Phone (201) 683-1062

415 Medical Dr
Ste A100
Bountiful, UT 84010
Phone (801) 335-0522

429 S Main St
Logan, UT 84321

370 E South Temple
Ste 125
Salt Lake City, UT 84111

370 E South Temple
Ste 175
Slc, UT 84111
Phone (385) 299-5683

5974 Fashion Point Dr
Ste 140
South Ogden, UT 84403
Phone (801) 475-5535

5926 Fashion Point Dr
Ste 120
South Ogden, UT 84403
Phone (801) 747-2800

7613 S Jordan Landing Blvd
Ste 120
West Jordan, UT 84084
Phone (801) 280-2548

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.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1740965086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 WILLOW CREEK RD",
            "city": "MOUNTAIN GREEN",
            "state": "UT",
            "postal_code": "840506810",
            "telephone_number": "801-668-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR STE B102",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104989",
            "telephone_number": "801-683-1062",
            "fax_number": "801-295-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "CHERILYN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7122214-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERILYN",
            "last_name": "CRABTREE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.