Individual provider Active NPI

Sheriann Rollins, APRN, FNP

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1750312054
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
03295408900 Issued in UT
Practice address
280 River Park Dr
#200
Provo, UT 84604-5764
Phone
(801) 223-4860
Fax
(801) 371-8993
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 03295408900 UT Primary

Addresses

Primary practice location

280 River Park Dr
#200
Provo, UT 84604-5764

Mailing address

3214 N University Ave
#614
Provo, UT 84604-4405
Phone (801) 223-4860

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
I20040310001566 UT Practitioner - Nurse Practitioner 9234028176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
03295408900UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Interventions, PLLC CurrentSince May 30, 2010 Accepting new patients

Locations

230 N 1200 E
Ste 201
Lehi, UT 84043
Phone (801) 852-9555

280 River Park Dr
Ste 200
Provo, UT 84604
Phone (801) 223-4860

3214 N University Ave
Provo, UT 84604
Phone (801) 223-4860

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750312054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 N UNIVERSITY AVE",
            "address_2": "#614",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044405",
            "telephone_number": "801-223-4860",
            "fax_number": "801-371-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 RIVER PARK DR",
            "address_2": "#200",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045764",
            "telephone_number": "801-223-4860",
            "fax_number": "801-371-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "SHERIANN",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "03295408900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.