Emmanuella Uzoigwe, DNP FNP-BC
Individual provider Active NPI Registered Nurse · Tooele, UT
NPI 1972321990 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1972321990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 10411597-3102 (UT)
- Practice address
- 348 W Quartz Rd
Tooele, UT 84074-5414 - Phone
- (801) 652-2467
- NPI assigned
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amazing Medical Associates Inc
Practice addresses (Care Compare)
434 W Ascension Way
Suite 225
Murray, UT 84123-2985
Phone (801) 716-7008
Hospital & facility affiliations
- Renew Home Health
- St Luke'S Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250428000777 | UT | Practitioner - Nurse Practitioner | 0446776033 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10411597-3102 | UT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amazing Medical Associates, Inc | Current |
Accepting new patients |
Locations
434 W Ascension Way
Ste 225
Salt Lake City, UT 84123
Phone (801) 716-7008
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 10411597-3102 | UT | Yes |
Addresses
Primary practice location
348 W Quartz Rd
Tooele, UT 84074-5414
Mailing address
348 W Quartz Rd
Tooele, UT 84074-5414
Phone (801) 652-2467
Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.