Active NPI
Terra Bowden, MSN, FNP
- Family Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1821561408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4954081-4405
- Practice address
- 450 S 900 E Ste 175
Salt Lake City, UT 84102-2981 - Phone
- (801) 698-2098
- NPI assigned
- Jan 7, 2019
- Last updated
- Apr 19, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 4954081-4405 | UT | Primary |
Addresses
Primary practice location
450 S 900 E Ste 175
Salt Lake City, UT 84102-2981
Mailing address
450 S 900 E Ste 175
Salt Lake City, UT 84102-2981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Other names 1
- Terra Smoot
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families First Pediatrics LLC | Past | Accepting new patients | |
| Kelson Physician Partners of Layton, Inc. | Past | Accepting new patients | |
| Families First Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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.
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- South Jordan, UT
- NPI 1194863589
-
dba Wee Care Pediatrics
- Pediatrics Physician
- Roy, UT
- NPI 1609086495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1821561408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 S 900 E STE 175",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 S 900 E STE 175",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022981",
"telephone_number": "801-698-2098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWDEN",
"first_name": "TERRA",
"credential": "MSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-07",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "4954081-4405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERRA",
"last_name": "SMOOT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.