Active NPI
Camille Ann Talamantes, DNP
- Family Medicine Physician
- North Salt Lake, UT
National Provider Identifier
1801629605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6234859-4405
- Practice address
- 691 North Redwood Road
Suite 100
North Salt Lake, UT 84054 - Phone
- (801) 292-1423
- Fax
- (801) 296-0436
- NPI assigned
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 Medicine Physician | 207Q00000X | 6234859-4405 | UT | Primary |
Addresses
Primary practice location
691 North Redwood Road
Suite 100
North Salt Lake, UT 84054
Mailing address
691 North Redwood Road
Suite 100
North Salt Lake, UT 84054
Phone (801) 292-1423
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
520 Medical Dr
Suite 300
Bountiful, UT 84010-4968
554 W Lasalle Dr
Murray, UT 84123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
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.
-
dba Bountiful Internal Medicine
- Internal Medicine Physician
- Bountiful, UT
- NPI 1184125668
-
- Internal Medicine Physician
- Logan, UT
- NPI 1235191495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1801629605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "691 NORTH REDWOOD ROAD",
"address_2": "SUITE 100",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "84054",
"telephone_number": "801-292-1423",
"fax_number": "801-296-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "691 NORTH REDWOOD ROAD",
"address_2": "SUITE 100",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "84054",
"telephone_number": "801-292-1423",
"fax_number": "801-296-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALAMANTES",
"first_name": "CAMILLE",
"middle_name": "ANN",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-26",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "6234859-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.