Individual provider Active NPI

Erin Wice, APRN

  • Family Nurse Practitioner
  • West Jordan, UT
National Provider Identifier
1932736758
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7163216-4408 Issued in UT
Practice address
3354 W 7800 S
West Jordan, UT 84088-4506
Phone
(801) 282-2677
NPI assigned
Mar 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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 7163216-4408 UT Primary

Addresses

Primary practice location

3354 W 7800 S
West Jordan, UT 84088-4506

Mailing address

3534 S 6000 W
West Valley City, UT 84128-2698
Phone (801) 969-6264

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
I20201016000657 UT Practitioner - Nurse Practitioner 9830519636 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7163216-4408UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hunter Medical Center, Inc Family Medicine CurrentSince Oct 8, 2020 Accepting new patients
Hunter Medical Center, Inc Family Medicine CurrentSince Oct 8, 2020 Accepting new patients

Locations

3354 W 7800 S
West Jordan, UT 84088
Phone (801) 282-2677

3534 S 6000 W
West Valley City, UT 84128
Phone (801) 658-6904

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1932736758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 S 6000 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841282698",
            "telephone_number": "801-969-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 W 7800 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884506",
            "telephone_number": "801-282-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICE",
        "first_name": "ERIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7163216-4408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.