Jannette Yvonne Dellos, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5075746-8900 Issued in UT

Practice address

1065 E 650 S
Heber City, UT 84032-4478

Phone

(435) 503-5292

NPI assigned

Jun 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1851705693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 E 650 S",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840324478",
            "telephone_number": "435-503-5292",
            "fax_number": "435-315-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 E 650 S",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840324478",
            "telephone_number": "435-503-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLOS",
        "first_name": "JANNETTE",
        "middle_name": "YVONNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5075746-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniels Academy
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• Austin Wyatt Davies
• Kathy Tyson Day, LSAC
• Deer Creek Childrens Dentistry
• Francis Alexander Dolce
• Dorius Arch Dental
• Jeffrey F Dorius, DDS
• Mark Kennedy Dorrough, DDS
• Vicki Lynn Doud, ACMHC

• Family Nurse Practitioner in Heber City, UT
• Providers in Heber City, 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 Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.