Diane W Allred, FNP
Individual provider Active NPI Nurse Practitioner · Lehi, UT
NPI 1770911448 · NPPES record last updated May 14, 2018
Key facts
- NPI
- 1770911448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 197201-4405 (UT)
- Practice address
- 1175 E 3200 N
Lehi, UT 84043-5464 - Phone
- (801) 407-3000
- Fax
- (801) 407-3301
- NPI assigned
- Oct 16, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Catholic Health Initiatives Colorado
Practice addresses (Care Compare)
3000 N Triumph Blvd
Lehi, UT 84043-7186
3336 S 4155
West Valley City, UT 84120
82 S 1100
Suite 103
Salt Lake City, UT 84102-1889
Phone (801) 505-5370
Hospital & facility affiliations
- Holy Cross Hospital-Jordan Valley
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171101001170 | UT | Practitioner - Nurse Practitioner | 7618243973 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197201-4405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current |
Accepting new patients | |
| Physician Group of Utah Inc | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Togo Acute and Post Acute Care | Current |
Accepting new patients | |
| Togo Healthcare LLC | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients | |
| Grabmd, LLC | Past |
Accepting new patients | |
| Personal Choice Medical Center Inc | Nurse Practitioner | Past |
Accepting new patients |
Locations
14572 S 790 W
Ste B201
Bluffdale, UT 84065
3000 N Triumph Blvd
Ste 110
Lehi, UT 84043
Phone (385) 345-3555
3000 N Triumph Blvd
Ste 100
Lehi, UT 84043
Phone (385) 345-3155
82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370
406 W South Jordan Pkwy
Ste 450
South Jordan, UT 84095
Phone (801) 561-8398
2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 197201-4405 | UT | Yes |
Addresses
Primary practice location
1175 E 3200 N
Lehi, UT 84043-5464
Mailing address
1175 E 3200 N
Lehi, UT 84043-5464
Phone (801) 407-3000
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.