Individual provider Active NPI

Nicole Morby

  • Nurse Practitioner
  • Logan, UT
National Provider Identifier
1750950994
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8641366-4405 Issued in UT
Practice address
2310 N 400 E
Logan, UT 84341-1788
Phone
(435) 787-2000
Fax
(435) 787-1913
NPI assigned
Jun 22, 2021
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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 8641366-4405 UT Primary

Addresses

Primary practice location

2310 N 400 E
Logan, UT 84341-1788

Mailing address

PO Box 30015
Dept 214
Salt Lake City, UT 84130-0015
Phone (801) 505-0821

Other practice location 1

1030 S Medical Dr Ste A
Brigham City, UT 84302-3281
Phone (435) 723-9700

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
I20210708000741 UT Practitioner - Nurse Practitioner 7113329558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ora CounselingGroup PAC ID 8426491705, 5 clinicians
Alpine Management and ConsultingGroup PAC ID 5496659245, 21 clinicians

Practice addresses (Care Compare)

115 Golf Course Rd
Suite a
Logan, UT 84321-5951
Phone (435) 279-6036

2310 N 400
Suite a
North Logan, UT 84341-1796
Phone (435) 787-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Ora Counseling Family CurrentSince Nov 1, 2024 Accepting new patients
Ora Counseling Family CurrentSince Feb 2, 2025 Accepting new patients
Alpine Management and Consulting CurrentSince Jun 30, 2021 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc PastSince Nov 1, 2024 Accepting new patients

Locations

1030 S Medical Dr
Ste A
Brigham City, UT 84302
Phone (435) 723-9700

115 Golf Course Rd
Ste A
Logan, UT 84321
Phone (435) 279-6036

193 E 1600 N
North Logan, UT 84341
Phone (435) 279-6036

2310 N 400 E
Ste A
North Logan, UT 84341
Phone (435) 774-8547

Interoperability endpoints

  • Direct secure messaging: nmorby@alpineortho.emadirect.md

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1750950994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30015",
            "address_2": "DEPT 214",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300015",
            "telephone_number": "801-505-0821",
            "fax_number": "801-505-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N 400 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411788",
            "telephone_number": "435-787-2000",
            "fax_number": "435-787-1913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 S Medical Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "843023281",
            "country_code": "US",
            "telephone_number": "435-723-9700",
            "fax_number": "435-723-9710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORBY",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "8641366-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.