Individual provider Active NPI

Rachelle Huber Dustin, FNP-C

  • Family Nurse Practitioner
  • Orem, UT
National Provider Identifier
1851064810
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8875550-4405 Issued in UT
Practice address
370 E 800 S Ste B
Orem, UT 84097-6386
Phone
(385) 308-5692
Fax
(385) 308-5692
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8875550-4405 UT Primary

Addresses

Primary practice location

370 E 800 S Ste B
Orem, UT 84097-6386

Mailing address

370 E 800 S Ste B
Orem, UT 84097-6386
Phone (385) 308-5692

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210921003720 UT Practitioner - Family Practice 7214334036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8875550-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aura Migraine Clinic PLLC Family Current Accepting new patients

Locations

370 E 800 S
Ste B
Orem, UT 84097
Phone (385) 308-5692

Interoperability endpoints

  • Direct secure messaging: rachelle.dustin.1@30906.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1851064810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E 800 S STE B",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840976386",
            "telephone_number": "385-308-5692",
            "fax_number": "385-308-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E 800 S STE B",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840976386",
            "telephone_number": "385-308-5692",
            "fax_number": "385-308-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSTIN",
        "first_name": "RACHELLE",
        "middle_name": "HUBER",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8875550-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.