Amy Allen, APRN

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Murray, UT

NPI 1801574306 · NPPES record last updated Jul 6, 2023

Key facts

NPI
1801574306
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
7765162-4405 (UT)
Practice address
688 E Vine St
Murray, UT 84107-5549
Phone
(801) 436-6556
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7765162-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Peak Psychiatry, LLC Single Specialty Current
since Jul 9, 2023
Accepting new patients

Locations

688 E Vine St
Ste 14
Murray, UT 84107
Phone (801) 436-6556

688 E Vine St
Murray, UT 84107
Phone (801) 436-6556

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24950/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
363LP0808X 7765162-4405 UT Yes

Addresses

Primary practice location

688 E Vine St
Murray, UT 84107-5549

Mailing address

1000 S 1000 E
Mapleton, UT 84664-5036
Phone (801) 473-1498

Other providers in Murray, UT

All providers in Murray, UT · Psychiatric/Mental Health Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.