Active NPI
Joanne M Nam, APRN
- Adult Health Nurse Practitioner
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 324002-4405
- Practice address
- 5169 Cottonwood St
Ste 510
Salt Lake City, UT 84107-5701 - Phone
- (801) 507-3500
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 324002-4405 | UT | Primary |
Addresses
Primary practice location
5169 Cottonwood St
Ste 510
Salt Lake City, UT 84107-5701
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 507-3513
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 S 900
Salt Lake City, UT 84105-3208
Phone (801) 464-7777
Hospital & facility affiliations
- Intermountain Medical Center
- Intermountain Health Riverton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 324002-4405 | UT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
3741 W 12600 S
Ste 160A
Riverton, UT 84065
5169 S Cottonwood St
Ste 510
Salt Lake City, UT 84107
Phone (801) 507-3584
5169 S Cottonwood St
Ste 520
Salt Lake City, UT 84107
Phone (801) 507-3555
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
9450 S 1300 E
Sandy, UT 84094
Phone (801) 501-2133
2000 S 900 E
Slc, UT 84105
Phone (801) 446-7786
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Internal Medicine Physician
- Logan, UT
- NPI 1912023300
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1306888722
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverton, UT
- NPI 1154551919
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1861583692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-507-3513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5169 COTTONWOOD ST",
"address_2": "STE 510",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841075701",
"telephone_number": "801-507-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAM",
"first_name": "JOANNE",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "UT",
"license": "324002-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.