Mitzi Marie Siebert, NURSE PRACTITIONER

Primary specialty

Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X

License

208935-4405 Issued in UT

Practice address

1906 W 3600 S
West Valley City, UT 84119-4715

Phone

(801) 973-9675

Fax

(801) 973-0379

NPI assigned

Sep 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Planned Parenthood Association of Utah

  • Voluntary or Charitable Agency
  • Salt Lake City, UT
  • NPI 1073549614
  NPD (past)
• Planned Parenthood Association of Utah

  • Clinic Pharmacy
  • West Valley City, UT
  • NPI 1881010874
  NPD (past)

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

{
    "created_epoch": "1127001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962497768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 MARINDA WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841214420",
            "telephone_number": "801-942-0944",
            "fax_number": "801-942-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 W 3600 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841194715",
            "telephone_number": "801-973-9675",
            "fax_number": "801-973-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBERT",
        "first_name": "MITZI",
        "middle_name": "MARIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "UT",
            "license": "208935-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott D Sheridan, MD
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC
• Shoptikal LLC
• Hannah Shurtliff
• Diana Alexandra Sierra
• Connery Jacob Silva, MD
• Peter Silvero, MD
• Marsha Gail Silverstrim, RPH
• Gary Jerome Simmons, CSW

• Ambulatory Women's Health Care Registered Nurse in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Ambulatory Women's Health Care Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.