Individual provider Active NPI

Ann Pennington Marsh, FNP-C

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1770140790
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6982323-4405 Issued in UT
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

Updated by the provider on May 6, 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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200106001484 UT Practitioner - Nurse Practitioner 0941634612 Reassigns benefits to 1 organization

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
Valley Behavioral Health IncorporatedGroup PAC ID 0042121196, 84 clinicians

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

LicenseStateTypeSpecialty
6982323-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Behavioral Health Incorporated CurrentSince Dec 3, 2019 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.

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

Verify at the official NPI Registry.