Individual provider Active NPI

Rebecca Feller, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bountiful, UT
National Provider Identifier
1861896813
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5927693-4405 Issued in UT
Practice address
537 W 2600 S
#203
Bountiful, UT 84010-7779
Phone
(801) 683-9340
Fax
(801) 992-1218
NPI assigned
Oct 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5927693-4405 UT Primary

Addresses

Primary practice location

537 W 2600 S
#203
Bountiful, UT 84010-7779

Mailing address

537 W 2600 S
#203
Bountiful, UT 84010-7779
Phone (801) 683-9340

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
I20221020002915 UT Practitioner - Nurse Practitioner 8729484803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Feller Behavioral Health ServicesGroup PAC ID 6800030727, 6 clinicians

Practice addresses (Care Compare)

1401 N 1075
Suite 240
Farmington, UT 84025-2745
Phone (801) 683-9340

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5927693-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Feller Behavioral Health Services CurrentSince Jun 28, 2022 Accepting new patients

Locations

537 W 2600 S
Ste 203
Bountiful, UT 84010
Phone (801) 683-9340

270 S Main St
Ste 104
Bountiful, UT 84010
Phone (801) 683-9340

1401 N 1075 W
Ste 240
Farmington, UT 84025
Phone (801) 613-8178

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1861896813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 W 2600 S",
            "address_2": "#203",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107779",
            "telephone_number": "801-683-9340",
            "fax_number": "801-992-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 W 2600 S",
            "address_2": "#203",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107779",
            "telephone_number": "801-683-9340",
            "fax_number": "801-992-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLER",
        "first_name": "REBECCA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "5927693-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.