Individual provider Active NPI

Shereen Zaugg, APRN-C

  • Family Nurse Practitioner
  • Farr West, UT
National Provider Identifier
1932353653
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4942688-4405 Issued in UT
Practice address
2850 N 2000 W
#203
Farr West, UT 84404-9219
Phone
(801) 689-3389
Fax
(801) 689-2320
NPI assigned
Nov 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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 4942688-4405 UT Primary

Addresses

Primary practice location

2850 N 2000 W
#203
Farr West, UT 84404-9219

Mailing address

PO Box 176
Shelley, ID 83274-0176
Phone (801) 689-3389

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

State licenses

LicenseStateTypeSpecialty
4942688-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Consultants, LLC PastSince Sep 1, 2018 Accepting new patients
Peak Health and Wellness, LLC PastSince Dec 28, 2014 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1932353653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832740176",
            "telephone_number": "801-689-3389",
            "fax_number": "801-689-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N 2000 W",
            "address_2": "#203",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844049219",
            "telephone_number": "801-689-3389",
            "fax_number": "801-689-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAUGG",
        "first_name": "SHEREEN",
        "credential": "APRN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "4942688-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farr West, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.