Active NPI
Tawna B Richards, NP
- Nurse Practitioner
- Brigham City, UT
National Provider Identifier
1962539452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 224635-4405
- Practice address
- 984 Medical Dr Ste 1
Brigham City, UT 84302-4712 - Phone
- (435) 723-5248
- Fax
- (435) 723-5240
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 224635-4405 | UT | Primary |
Addresses
Primary practice location
984 Medical Dr Ste 1
Brigham City, UT 84302-4712
Mailing address
984 Medical Dr
Suite 1
Brigham City, UT 84302-4712
Phone (435) 723-5248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1962539452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "984 MEDICAL DR",
"address_2": "SUITE 1",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843024712",
"telephone_number": "435-723-5248",
"fax_number": "435-723-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "984 MEDICAL DR STE 1",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843024712",
"telephone_number": "435-723-5248",
"fax_number": "435-723-5240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "TAWNA",
"middle_name": "B",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "224635-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brigham City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.