Individual provider Active NPI

Cara Mellor

  • Family Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1932396280
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5083731-4405 Issued in UT
Practice address
434 E 5350 S Ste B
Ogden, UT 84405-5417
Phone
(801) 475-7100
Fax
(801) 475-7101
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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 5083731-4405 UT Primary

Addresses

Primary practice location

434 E 5350 S Ste B
Ogden, UT 84405-5417

Mailing address

434 E 5350 S Ste B
Ogden, UT 84405-5417
Phone (801) 475-7100

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
I20080102000397 UT Practitioner - Nurse Practitioner 7810077948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaysville Clinic, LLCGroup PAC ID 2264331636, 2 clinicians

Practice addresses (Care Compare)

120 S Main St
Kaysville, UT 84037-2527
Phone (801) 544-4227

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaysville Clinic, LLC CurrentSince Jan 1, 2019 Accepting new patients
Douglas C. Walker D.O., P.C. PastSince Sep 15, 2003 Accepting new patients
Bear River Medical Arts PC Family PastSince Jul 1, 1999 Accepting new patients

Locations

120 S Main St
Kaysville, UT 84037
Phone (801) 330-3440

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1932396280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 E 5350 S STE B",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844055417",
            "telephone_number": "801-475-7100",
            "fax_number": "801-475-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 E 5350 S STE B",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844055417",
            "telephone_number": "801-475-7100",
            "fax_number": "801-475-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOR",
        "first_name": "CARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5083731-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.