Organization Active NPI

Neurological Associates LLC

  • Neurology Physician
  • American Fork, UT
National Provider Identifier
1912963372
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGICAL ASSOCIATES LLC
Practice address
212 S 1100 E
American Fork, UT 84003-2829
Phone
(801) 763-0901
Fax
(801) 763-0903
NPI assigned
Apr 25, 2006
Last updated
Oct 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Cara Louise EarleNPI 1013527282
Title
Practice Administrator
Phone
(801) 763-0901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

212 S 1100 E
American Fork, UT 84003-2829

Mailing address

212 S 1100 E
American Fork, UT 84003-2829
Phone (801) 763-0901

Other identifiers 1

IdentifierTypeStateIssuer
119463100MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040825000281 UT Part B Supplier - Clinic/Group Practice 1153306360 Receives reassigned benefits from 6 practitioners
Practice locations: American Fork, UT; Orem, UT; Payson, UT; Saratoga Springs, UT

National Provider Directory

National Provider Directory

Locations

52 N 1100 E
American Fork, UT 84003
Phone (801) 465-6911

498 E 800 N
Ste 3B
Orem, UT 84097
Phone (801) 763-0901

11 N 400 W
Payson, UT 84651
Phone (801) 763-0901

41 N 400 W
Payson, UT 84651
Phone (801) 218-3338

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1912963372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032829",
            "telephone_number": "801-763-0901",
            "fax_number": "801-763-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032829",
            "telephone_number": "801-763-0901",
            "fax_number": "801-763-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "801-763-0901"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119463100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.