Individual provider Active NPI

Elizabeth Daniels, FNP

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1922376383
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013112-4405 Issued in UT
Practice address
75 S 200 E
Ste 100
Provo, UT 84606-3146
Phone
(801) 877-5801
Fax
(801) 877-5802
NPI assigned
Dec 13, 2011
Last updated
Nov 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5013112-4405 UT Primary

Addresses

Primary practice location

75 S 200 E
Ste 100
Provo, UT 84606-3146

Mailing address

2561 S 1560 W
Ste B
Woods Cross, UT 84087-2361
Phone (810) 505-0821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120629000364 UT Practitioner - Nurse Practitioner 1254596091

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

75 S 200 E
Suite 100
Provo, UT 84606-3146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health Family Practice, PLLC Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Mountain Springs Family Medicine, PLLC Family Medicine CurrentSince Apr 11, 2012 Accepting new patients

Locations

240 E Center St
Provo, UT 84606
Phone (801) 877-5801

75 S 200 E
Ste 100
Provo, UT 84606
Phone (801) 844-1615

468 S Main St
Spanish Fork, UT 84660
Phone (801) 504-5117

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1922376383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 S 1560 W",
            "address_2": "STE B",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840872361",
            "telephone_number": "810-505-0821",
            "fax_number": "801-505-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S 200 E",
            "address_2": "STE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063146",
            "telephone_number": "801-877-5801",
            "fax_number": "801-877-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5013112-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.