Nancy Weston DNP Aprn FNP-C LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

NANCY WESTON DNP APRN FNP-C LLC

Doing business as

Randolp Medical Clinic

Practice address

120 S Main St
Randolph, UT 84064-7701

Phone

(435) 200-5612

NPI assigned

Feb 20, 2024

Last updated

Jun 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Weston, DNP APRN FNP-CNPI 1538687967

Title

Ceo

Phone

(435) 200-5612

Specialties & licenses 1

Addresses

Other names 1

• Randolp Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Weston

  • Nurse Practitioner
  • Randolph, UT
  • NPI 1538687967
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1851156707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "RANDOLPH",
            "state": "UT",
            "postal_code": "840640126",
            "telephone_number": "435-200-5612",
            "fax_number": "435-793-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MAIN ST",
            "city": "RANDOLPH",
            "state": "UT",
            "postal_code": "840647701",
            "telephone_number": "435-200-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY WESTON DNP APRN FNP-C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "WESTON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-200-5612",
        "authorized_official_credential": "DNP APRN FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randolp Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Randolp Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bear Lake Community Health Center, Inc. (Bear Lake Community Health Center - Randolph)
• Bear Lake Physical and Sports Therapy PC (Bear Lake Physical Therapy - Randolph)
• County of Rich (Rich County Ambulance Service)
• Nancy Weston

• Nurse Practitioner in Randolph, UT
• Providers in Randolph, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.