Active NPI
Grace Alberta Nielsen, RN
- Community Health Registered Nurse
- Provo, UT
National Provider Identifier
1932272499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 179776-3102
- Practice address
- 151 S University Ave # 1900
Provo, UT 84601-4427 - Phone
- (801) 851-7033
- Fax
- (801) 343-8724
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 179776-3102 | UT | Primary |
Addresses
Primary practice location
151 S University Ave # 1900
Provo, UT 84601-4427
Mailing address
851 N 300 W
Mapleton, UT 84664-3414
Phone (801) 489-7392
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QM0000039389 | Other | UT | ALTIUS PROVIDER # |
| PR00489 | Medicaid | UT | |
| 103003506102 | Other | UT | SELECT HEALTH PROVIDER # |
| 55102 | Other | UT | PEHP PROVIDER # |
| 998877660009 | Medicaid | UT | |
| 73-00012 | Other | UT | UNITED HEALTHCARE ID# |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179776-3102 | UT | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1932272499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 N 300 W",
"city": "MAPLETON",
"state": "UT",
"postal_code": "846643414",
"telephone_number": "801-489-7392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 S UNIVERSITY AVE # 1900",
"city": "PROVO",
"state": "UT",
"postal_code": "846014427",
"telephone_number": "801-851-7033",
"fax_number": "801-343-8724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "GRACE",
"middle_name": "ALBERTA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "UT",
"license": "179776-3102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS PROVIDER #",
"identifier": "QM0000039389",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PR00489",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH PROVIDER #",
"identifier": "103003506102",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP PROVIDER #",
"identifier": "55102",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "998877660009",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE ID#",
"identifier": "73-00012",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.