Individual provider Active NPI

Rachel Reinhart Taylor, MD

  • Family Medicine Physician
  • Ogden, UT
National Provider Identifier
1770923179
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12445803-1205 Issued in UT
Practice address
5265 Ridgedale Dr
Ogden, UT 84403-1410
Phone
(801) 550-3393
Fax
(928) 475-7376
NPI assigned
Jun 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 54003 AZ
Family Medicine Physician 207Q00000X 12445803-1205 UT Primary

Addresses

Primary practice location

5265 Ridgedale Dr
Ogden, UT 84403-1410

Mailing address

5265 Ridgedale Dr
Ogden, UT 84403-1410
Phone (801) 550-3393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170923000231 TX Practitioner - Emergency Medicine 3274807656 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12445803-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Aug 10, 2017 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Dec 26, 2017 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Dec 26, 2017 Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

Organizations & group practices 5

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": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1770923179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5265 RIDGEDALE DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031410",
            "telephone_number": "801-550-3393",
            "fax_number": "928-475-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 RIDGEDALE DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031410",
            "telephone_number": "801-550-3393",
            "fax_number": "928-475-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RACHEL",
        "middle_name": "REINHART",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "54003",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "12445803-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.