Individual provider Active NPI

Paige Christiana Erickson, APRN

  • Family Nurse Practitioner
  • Roy, UT
National Provider Identifier
1871167700
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8628441-4405 Issued in UT
Practice address
4103 S 2175 W
Roy, UT 84067-2043
Phone
(801) 786-9792
NPI assigned
May 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8628441-4405 UT Primary

Addresses

Primary practice location

4103 S 2175 W
Roy, UT 84067-2043

Mailing address

4103 S 2175 W
Roy, UT 84067-2043
Phone (801) 786-9792

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
I20221228001509 UT Practitioner - Nurse Practitioner 3577933027 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Medical Associates, Inc CurrentSince Aug 13, 2022 Accepting new patients
Bliv Wellness LLC Current Accepting new patients

Locations

434 W Ascension Way
Ste 225
Salt Lake City, UT 84123
Phone (801) 716-7008

Interoperability endpoints

  • Direct secure messaging: paige.erickson@731444467007492.direct.elationemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1871167700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 S 2175 W",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840672043",
            "telephone_number": "801-786-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 S 2175 W",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840672043",
            "telephone_number": "801-786-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "PAIGE",
        "middle_name": "CHRISTIANA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-15",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8628441-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roy, UT

Sources for this page

Verify at the official NPI Registry.