Afton Leuga, APRN
Individual provider Active NPI Family Nurse Practitioner · Provo, UT
NPI 1902308455 · NPPES record last updated Mar 1, 2018
Key facts
- NPI
- 1902308455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 7472922-4405 (UT)
- Practice address
- 395 W Bulldog Blvd.
Suite 401
Provo, UT 84604 - Phone
- (801) 357-7546
- NPI assigned
- Mar 1, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
181 E Medical Tower Dr
Murray, UT 84107-4872
Phone (801) 314-7840
Hospital & facility affiliations
- Intermountain Health Utah Valley Hospital
- Intermountain Health Sevier Valley Hospital
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 |
|---|---|---|---|---|
| I20190226002725 | UT | Practitioner - Nurse Practitioner | 5698014215 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- 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 | Current |
Accepting new patients | |
| Ihc Health Services Inc | Nurse Practitioner | 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
395 W Cougar Blvd
Ste 401
Provo, UT 84604
Phone (801) 357-7546
181 E Medical Tower Dr
Salt Lake City, UT 84107
Phone (801) 314-4266
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7472922-4405 | UT | Yes |
Addresses
Primary practice location
395 W Bulldog Blvd.
Suite 401
Provo, UT 84604
Mailing address
395 W Bulldog Blvd.
Suite 401
Provo, UT 84604
NPI Registry JSON
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1902308455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 W BULLDOG BLVD.",
"address_2": "SUITE 401",
"city": "PROVO",
"state": "UT",
"postal_code": "84604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 W BULLDOG BLVD.",
"address_2": "SUITE 401",
"city": "PROVO",
"state": "UT",
"postal_code": "84604",
"telephone_number": "801-357-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUGA",
"first_name": "AFTON",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-01",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "7472922-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
- Kate Elizabeth Lengal
- Maria Carmen Leri
- McKayla Norene Lesa
- Robert T Lesa
- Miquelle Leslie
- Crystal Leuk
- Mekenzie Leuk
- Jared Leung-Wo
- Christopher Ryan Lew
- Elizabeth Lewin - Shepley
All providers in Provo, 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 Mar 1, 2018. 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.