Active NPI
Nicole Lee Priest, M.D.
- Family Medicine Physician
- Moab, UT
National Provider Identifier
1902917438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 377594-1205
- Practice address
- 476 Williams Way
Ste a
Moab, UT 84532-2065 - Phone
- (435) 259-7121
- Fax
- (435) 259-3112
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 377594-1205 | UT | Primary |
Addresses
Primary practice location
476 Williams Way
Ste a
Moab, UT 84532-2065
Mailing address
476 Williams Way Ste a
PO Box 1270
Moab, UT 84532-2065
Phone (435) 259-7121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- nicolep@mrhmoab.securechart.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1902917438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "476 WILLIAMS WAY STE A",
"address_2": "PO BOX 1270",
"city": "MOAB",
"state": "UT",
"postal_code": "845322065",
"telephone_number": "435-259-7121",
"fax_number": "435-259-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "476 WILLIAMS WAY",
"address_2": "STE A",
"city": "MOAB",
"state": "UT",
"postal_code": "845322065",
"telephone_number": "435-259-7121",
"fax_number": "435-259-3112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIEST",
"first_name": "NICOLE",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "377594-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.