Active NPI
Robert Gordon Sheen, NP-C
- Family Nurse Practitioner
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3435044405
- Practice address
- 1034 N 500 W
Provo, UT 84604-3380 - Phone
- (801) 357-4930
- NPI assigned
- Feb 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 3435044405 | UT | Primary |
Addresses
Primary practice location
1034 N 500 W
Provo, UT 84604-3380
Mailing address
7385 Bromley Rd
West Jordan, UT 84084-2738
Phone (801) 561-3452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 E 3900
Salt Lake City, UT 84124-1300
Phone (561) 997-0821
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 529-6111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3435044405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intensive Care Consortium Inc | Family | Current | Accepting new patients |
| Urgent Specialty Associates of Utah PLLC | Current | Accepting new patients | |
| University of Utah Emergency Physicians | Past | Accepting new patients | |
| University of Utah Emergency Physicians | Past | Accepting new patients |
Locations
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
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.
-
- Surgical Critical Care Physician
- Salt Lake City, UT
- NPI 1992587778
-
- Emergency Medical Services (Emergency Medicine) Physician
- Salt Lake City, UT
- NPI 1093769218
-
dba Memorial Hosptial of Sweetwater County
- Emergency Medicine Physician
- Rock Springs, WY
- NPI 1730583295
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Mark's Hospital
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1164469243
-
dba Eastern Idaho Regional Medical Center
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770559387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7385 BROMLEY RD",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840842738",
"telephone_number": "801-561-3452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 N 500 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846043380",
"telephone_number": "801-357-4930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEN",
"first_name": "ROBERT",
"middle_name": "GORDON",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "3435044405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.