Active NPI
Ann Pennington Marsh, FNP-C
- Family Nurse Practitioner
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6982323-4405
- Practice address
- 4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550 - Phone
- (888) 949-4864
- NPI assigned
- May 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6982323-4405 | UT | Primary |
Addresses
Primary practice location
4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550
Mailing address
4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550
Phone (888) 949-4864
Other practice location 1
61 W 3200 N Ste C
Lehi, UT 84043-2481
Phone (385) 352-0404
Other practice location 2
100 S 1000 W
Tooele, UT 84074-4010
Phone (435) 843-3520
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | annie.marsh@selecthealth.org | Other |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1020 S Main St
Salt Lake City, UT 84101-3176
Phone (801) 539-7000
4460 S Highland Dr
Salt Lake City, UT 84124-3550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6982323-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Behavioral Health Incorporated | Current | Accepting new patients | |
| Valley Mental Health Incorporated | Current | Accepting new patients |
Locations
12427 S Pasture Rd
Ste 104
Riverton, UT 84096
Phone (801) 273-6335
4460 S Highland Dr
Ste 100
Salt Lake City, UT 84124
Phone (801) 273-1085
4460 S Highland Dr
Ste 210
Salt Lake City, UT 84124
Phone (801) 273-6311
1020 S Main St
Slc, UT 84101
Phone (801) 536-6500
4460 S Highland Dr
Slc, UT 84124
Phone (801) 263-7101
4460 S Highland Dr
Ste 230
Slc, UT 84124
Phone (801) 263-7227
100 S 1000 W
Tooele, UT 84074
Phone (435) 843-3520
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Valley City, UT
- NPI 1932166980
-
- Psychiatry Physician
- Salt Lake City, UT
- NPI 1275599797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1770140790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4460 S HIGHLAND DR STE 210",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841243550",
"telephone_number": "888-949-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 S HIGHLAND DR STE 210",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841243550",
"telephone_number": "888-949-4864"
}
],
"practiceLocations": [
{
"address_1": "61 W 3200 N Ste C",
"address_purpose": "LOCATION",
"city": "Lehi",
"state": "UT",
"postal_code": "840432481",
"country_code": "US",
"telephone_number": "385-352-0404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 S 1000 W",
"address_purpose": "LOCATION",
"city": "Tooele",
"state": "UT",
"postal_code": "840744010",
"country_code": "US",
"telephone_number": "435-843-3520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSH",
"first_name": "ANN",
"middle_name": "PENNINGTON",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "6982323-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "annie.marsh@selecthealth.org",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Work Email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Work Email",
"address_1": "1302 E 10 S",
"city": "Lindon",
"state": "UT",
"country_code": "US",
"postal_code": "840422220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.