Deseret Day Allen, DNP, APRN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Layton, UT
NPI 1891369732 · NPPES record last updated Nov 8, 2022
Key facts
- NPI
- 1891369732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 377163-4405 (UT)
- Practice address
- 209 E Gordon Ave Ste 1
Layton, UT 84041-2357 - Phone
- (801) 941-9280
- NPI assigned
- May 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wasatch Therapy Inc
Practice addresses (Care Compare)
5349 Adams Ave Pkwy
Suite a
Ogden, UT 84405-4736
Phone (801) 479-9865
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221115000735 | UT | Practitioner - Nurse Practitioner | 6002951878 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Therapy Inc | Current |
Accepting new patients | |
| Wasatch Therapy Inc | Current | Accepting new patients | |
| Wasatch Therapy Inc | Current |
Accepting new patients | |
| Specialty Nursing Services | Past |
Accepting new patients |
Locations
5349 Adams Avenue Pkwy
Ste A
Washington Tr, UT 84405
Phone (801) 479-9865
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 377163-4405 | UT | Yes |
Addresses
Primary practice location
209 E Gordon Ave Ste 1
Layton, UT 84041-2357
Mailing address
209 E Gordon Ave Ste 1&2
Layton, UT 84041-2341
Phone (385) 786-6100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377163-4405 | Other | UT | UTAH DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Layton | Health Information Exchange (HIE) |
Other providers in Layton, UT
- Nadia Aleiwe
- Aleracare of Utah Inc
- Shilyn Alex
- Gary J Alexander
- Alanna Marie Allen
- Eva Sophia Allen
- Meredith Dalton Allen
- Mia Allen
- Mindy Allen
- Reese Allen
All providers in Layton, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.