Tara Lee Udy, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10879383-4405 Issued in UT

Practice address

585 N 500 W
Provo, UT 84601-1548

Phone

(801) 374-1801

Fax

(801) 216-8357

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tara Lee Murdoch Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Valley Obstetrics and Gynecology, PC

  • Obstetrics & Gynecology Physician
  • American Fork, UT
  • NPI 1588863377
  Medicare reassignment NPD
• Valley Obstetrics and Gynecology, P.C.

  • Obstetrics & Gynecology Physician
  • Springville, UT
  • NPI 1710399472
  NPD
• Valley Obstetrics and Gynecology, P.C.

  • Advanced Practice Midwife
  • American Fork, UT
  • NPI 1780002188
  NPD
• Valley Obstetrics and Gynecology, P.C.

  • Clinical Medical Laboratory
  • Provo, UT
  • NPI 1346718764
  NPD (past)
• Valley Obstetrics and Gynecology, P.C.

  • Obstetrics & Gynecology Physician
  • Provo, UT
  • NPI 1992279392
  NPD (past)
• Valley Obstetrics and Gynecology, PC

  • Obstetrics & Gynecology Physician
  • St George, UT
  • NPI 1568478170
  NPD (past)

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1831815067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 W 225 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846635533",
            "telephone_number": "801-857-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011548",
            "telephone_number": "801-374-1801",
            "fax_number": "801-216-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDY",
        "first_name": "TARA",
        "middle_name": "LEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10879383-4405",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "UT",
            "license": "10879383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "MURDOCH",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Megan Uhl
• Uhs Provo Canyon Inc
• Zachary David Ullery
• Rachel Umphress

• Family Nurse Practitioner in Provo, UT
• Providers in Provo, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.