Individual provider Active NPI

Angela Allen, CNM

  • Advanced Practice Midwife
  • North Logan, UT
National Provider Identifier
1962369504
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
11127164-4402 Issued in UT
Practice address
2380 N 400 E Ste D
North Logan, UT 84341-1756
Phone
(435) 922-4784
NPI assigned
Jan 6, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X 11127164-4402 UT Primary

Addresses

Primary practice location

2380 N 400 E Ste D
North Logan, UT 84341-1756

Mailing address

214 S 125 E
Franklin, ID 83237-4909
Phone (208) 315-3816

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

214 S 125
Franklin, ID 83237-4909

2380 N 400
Suite D
Logan, UT 84341-1756

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
I20260306000608 UT Practitioner - Certified Nurse Midwife (CNM) 4082196191 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11127164-4402UTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Cache Valley Midwifery Group Single Specialty CurrentSince Jan 7, 2026 Accepting new patients

Locations

2380 N 400 E
Ste D
North Logan, UT 84341
Phone (435) 753-7880

NPI Registry JSON

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1962369504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S 125 E",
            "city": "FRANKLIN",
            "state": "ID",
            "postal_code": "832374909",
            "telephone_number": "208-315-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 N 400 E STE D",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411756",
            "telephone_number": "435-922-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ANGELA",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "11127164-4402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Logan, UT

Sources for this page

Verify at the official NPI Registry.