Individual provider Active NPI

Traci Naylor, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orem, UT
National Provider Identifier
1821453200
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
291500-4405 Issued in UT
Practice address
361 E 1200 S
Orem, UT 84058-6904
Phone
(801) 224-3014
NPI assigned
Dec 29, 2015
Last updated
Dec 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 291500-4405 UT Primary
Psychiatric Residential Treatment Facility 323P00000X 291500-3102 UT

Addresses

Primary practice location

361 E 1200 S
Orem, UT 84058-6904

Mailing address

361 E 1200 S Ste 201
Orem, UT 84058-6904
Phone (801) 224-3014

Other practice location 1

763 N 1640 W
Springville, UT 84663
Phone (801) 704-1373

Other practice location 2

2135 W Main St Ste B207
Lehi, UT 84043-6937
Phone (801) 224-3014

Other names 1

  • Traci Buxton Former name

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
I20180710000934 UT Practitioner - Nurse Practitioner 2668728460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Behavioral Psychiatry, LLCGroup PAC ID 7214029743, 9 clinicians

Practice addresses (Care Compare)

361 E 1200
Suite 201
Orem, UT 84058-6904
Phone (801) 224-3014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Behavioral Psychiatry, LLC Single Specialty CurrentSince May 15, 2018 Accepting new patients

Locations

2135 W Main St
Ste B207
Lehi, UT 84043
Phone (801) 224-3014

361 E 1200 S
Ste 201
Orem, UT 84058
Phone (801) 224-3014

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1821453200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 E 1200 S STE 201",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586904",
            "telephone_number": "801-224-3014",
            "fax_number": "801-224-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 E 1200 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586904",
            "telephone_number": "801-224-3014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "763 N 1640 W",
            "address_purpose": "LOCATION",
            "city": "Springville",
            "state": "UT",
            "postal_code": "84663",
            "country_code": "US",
            "telephone_number": "801-704-1373",
            "fax_number": "801-704-1408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2135 W Main St Ste B207",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840436937",
            "country_code": "US",
            "telephone_number": "801-224-3014",
            "fax_number": "801-224-4914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "TRACI",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "291500-4405",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "291500-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "BUXTON",
            "credential": "BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.