Eastern Utah Womens Health LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

EASTERN UTAH WOMENS HEALTH LLC

Practice address

77 S 600 E Ste B
Price, UT 84501-3174

Phone

(435) 637-0313

Fax

(435) 637-0317

NPI assigned

Apr 19, 2018

Last updated

Apr 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Pendergrass, DNP, APRN, WHNP-BCNPI 1225257819

Title

President

Phone

(435) 637-0313

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danielle Howa Pendergrass, DNP, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Price, UT
  • NPI 1225257819
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1770070260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 656",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845010656",
            "telephone_number": "435-637-0313",
            "fax_number": "435-637-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S 600 E STE B",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845013174",
            "telephone_number": "435-637-0313",
            "fax_number": "435-637-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN UTAH WOMENS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "PENDERGRASS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-637-0313",
        "authorized_official_credential": "DNP, APRN, WHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "UT",
            "license": "3196374405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225257819",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastern Utah Eye Physicians
• Eastern Utah Imaging
• Eastern Utah Pain
• Eastern Utah Surgical Center
• Eastern Utah Surgical Center
• Edward K. Madsen, M.D., a Professional Corporation
• Kaleb Egbert, MD
• Elevate Home Health LLC
• Elevate Hospice, LLC
• Savannah Eley

• Primary Care Nurse Practitioner in Price, UT
• Providers in Price, UT by specialty
• Primary Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.