Individual provider Active NPI

Carlee A Sharp

  • Family Medicine Physician
  • Heber City, UT
National Provider Identifier
1841089356
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10498283-4405 Issued in UT
Practice address
150 N Main St Ste 105
Heber City, UT 84032-1670
Phone
(435) 640-9430
NPI assigned
May 1, 2025
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 10498283-4405 UT Primary

Addresses

Primary practice location

150 N Main St Ste 105
Heber City, UT 84032-1670

Mailing address

400 Lloyd LN
Heber City, UT 84032-3833
Phone (435) 640-9430

Other names 1

  • Carlee Dick 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
I20250730004219 UT Practitioner - Nurse Practitioner 7315454568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wow Medical LLCGroup PAC ID 5991193526, 3 clinicians

Practice addresses (Care Compare)

150 N Main St
Suite 105
Heber City, UT 84032-1670
Phone (435) 709-5202

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10498283-4405UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wow Medical LLC Family Medicine CurrentSince May 12, 2025 Accepting new patients

Locations

150 N Main St
Ste 105
Heber City, UT 84032
Phone (435) 654-1377

Interoperability endpoints

  • Direct secure messaging: carlee.sharp.1@31079.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2587/brand/1/csg/21/fhir/r4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1841089356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LLOYD LN",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323833",
            "telephone_number": "435-640-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N MAIN ST STE 105",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321670",
            "telephone_number": "435-640-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "CARLEE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "10498283-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLEE",
            "last_name": "DICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Heber City, UT

Sources for this page

Verify at the official NPI Registry.