Laycie Allred
Individual provider Active NPI Family Nurse Practitioner · Riverton, UT
NPI 1902605397 · NPPES record last updated May 8, 2025
Key facts
- NPI
- 1902605397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 9029128-4405 (UT)
- Practice address
- 2332 W Adelaide Dr
Riverton, UT 84065-1900 - Phone
- (801) 808-5383
- NPI assigned
- Mar 10, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Catholic Health Initiatives Colorado
Practice addresses (Care Compare)
3336 S 4155
West Valley City, UT 84120
3584 W 9000
Suite 304
West Jordan, UT 84088-4775
Phone (801) 263-2370
82 S 1100
Suite 103
Salt Lake City, UT 84102-1889
Phone (801) 505-5370
Hospital & facility affiliations
- Holy Cross Hospital-Jordan Valley
- Holy Cross Hospital - Salt Lake
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 |
|---|---|---|---|---|
| I20250521000780 | UT | Practitioner - Nurse Practitioner | 5698294882 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9029128-4405 | UT | MD | Nurse Practitioner |
| 9029128-8900 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients |
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
82 S 1100 E
Ste 200
Salt Lake City, UT 84102
Phone (801) 290-7152
82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9029128-4405 | UT | |
| Family Nurse Practitioner | 363LF0000X | 9029128-8900 | UT | |
| Family Nurse Practitioner | 363LF0000X | 9029128-4405 | UT | Yes |
Addresses
Primary practice location
2332 W Adelaide Dr
Riverton, UT 84065-1900
Mailing address
2332 W Adelaide Dr
Riverton, UT 84065-1900
Phone (801) 808-5383
Other practice location 1
82 S 1100 E Ste 200
Salt Lake City, UT 84102-1889
Phone (801) 290-7152
Other providers in Riverton, UT
- Alan C Baugh DMD, PC
- Aaron David Aldridge
- Andrea Garcia Alfandre
- Eric Allen
- Don Preston Allred
- Mikelle Allred
- Dylan Burns Alston
- Aml Diagnostic Laboratory Utah Amerilabs
- Maurinne Amosa
- Kimberly Andersen
All providers in Riverton, 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 May 8, 2025. 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.