Individual provider Active NPI

Camille Ann Talamantes, DNP

  • Family Medicine Physician
  • North Salt Lake, UT
National Provider Identifier
1801629605
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6234859-4405 Issued in UT
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

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260611004803 UT Practitioner - Nurse Practitioner 1759853526 Reassigns benefits to 2 organizations

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.

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

Verify at the official NPI Registry.