Individual provider Active NPI

Kourtney Atwood, APRN

  • Family Nurse Practitioner
  • Helper, UT
National Provider Identifier
1962928978
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6239108-4405 Issued in UT
Practice address
125 S Main St
Helper, UT 84526-1535
Phone
(435) 472-7000
NPI assigned
Aug 21, 2017
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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 6239108-4405 UT Primary

Addresses

Primary practice location

125 S Main St
Helper, UT 84526-1535

Mailing address

125 S Main St
Helper, UT 84526-1535
Phone (435) 472-7000

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
I20170913001373 UT Practitioner - Nurse Practitioner 5799058723 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Community Behavioral Health Inc CurrentSince Mar 18, 2024 Accepting new patients
Four Corners Community Behavioral Health, Inc. CurrentSince Mar 18, 2024 Accepting new patients
Carbon Medical Service Association, Incorporated CurrentSince Aug 18, 2017 Accepting new patients
Carbon Medical Service Association Incorporated CurrentSince Aug 18, 2017 Accepting new patients

Locations

125 S Main St
Helper, UT 84526
Phone (435) 472-7000

575 E 1st S
Price, UT 84501
Phone (435) 637-2358

Interoperability endpoints

  • Direct secure messaging: pso6000@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1962928978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST",
            "city": "HELPER",
            "state": "UT",
            "postal_code": "845261535",
            "telephone_number": "435-472-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST",
            "city": "HELPER",
            "state": "UT",
            "postal_code": "845261535",
            "telephone_number": "435-472-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWOOD",
        "first_name": "KOURTNEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6239108-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helper, UT

Sources for this page

Verify at the official NPI Registry.