Individual provider Active NPI

Theresa M. Fought, CNM

  • Advanced Practice Midwife
  • Saint George, UT
National Provider Identifier
1942390547
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
203836-4402 Issued in UT
Practice address
515 S 300 E
Ste 205
Saint George, UT 84770-3979
Phone
(435) 674-0999
Fax
(435) 674-0960
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 203836-4402 UT Primary
Nurse Practitioner 363L00000X AP60639299 WA

Addresses

Primary practice location

515 S 300 E
Ste 205
Saint George, UT 84770-3979

Mailing address

515 S 300 E
Ste 205
Saint George, UT 84770-3979
Phone (435) 674-0999

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111000897 UT Practitioner - Certified Nurse Midwife (CNM) 4789632274 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60639299WAMDNurse Practitioner
203836-4402UTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Jul 1, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Jul 1, 2015 Accepting new patients
St. George OBGYN LLC CurrentSince Mar 1, 2017 Accepting new patients
Valley Obstetrics and Gynecology, PC PastSince Mar 1, 2017 Accepting new patients

Locations

7495 S State St
Midvale, UT 84047
Phone (801) 213-9400

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

515 S 300 E
Ste 205
St George, UT 84770
Phone (435) 674-0999

295 S 1470 E
Ste 300
St George, UT 84790
Phone (435) 674-0999

Organizations & group practices 5

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1942390547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S 300 E",
            "address_2": "STE 205",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703979",
            "telephone_number": "435-674-0999",
            "fax_number": "435-674-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S 300 E",
            "address_2": "STE 205",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703979",
            "telephone_number": "435-674-0999",
            "fax_number": "435-674-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUGHT",
        "first_name": "THERESA",
        "middle_name": "M.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "203836-4402",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60639299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

Verify at the official NPI Registry.