Individual provider Active NPI

Desiree Eggett

  • Nurse Practitioner
  • Orem, UT
National Provider Identifier
1861247538
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
12113409-4405 Issued in UT
Practice address
358 W Center St
Orem, UT 84057-4659
Phone
(801) 373-1400
NPI assigned
Apr 17, 2024
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 12113409-4405 UT Primary

Addresses

Primary practice location

358 W Center St
Orem, UT 84057-4659

Mailing address

1938 S 424 E
Orem, UT 84058-8143
Phone (801) 660-9706

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
I20240508003230 UT Practitioner - Nurse Practitioner 7416398458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspen Physician Group LLCGroup PAC ID 8527472018, 4 clinicians

Practice addresses (Care Compare)

1217 E 1650
Bountiful, UT 84010-1586
Phone (801) 997-1276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12113409-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Physician Group LLC CurrentSince May 1, 2024 Accepting new patients
Utah Home Health and Hospice LLC Nurse Practitioner PastSince Apr 21, 2024 Accepting new patients
Ambrose Healthcare LLC PastSince Apr 21, 2024 Accepting new patients

Organizations & group practices 3

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 6

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": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1861247538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 S 424 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840588143",
            "telephone_number": "801-660-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 W CENTER ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574659",
            "telephone_number": "801-373-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGETT",
        "first_name": "DESIREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "12113409-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.