Individual provider Active NPI

Anneliesa Allred, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Layton, UT
National Provider Identifier
1972979300
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3083711-4405 Issued in UT
Practice address
2297 N Hill Field Rd Ste 103
Layton, UT 84041-6927
Phone
(385) 888-9040
NPI assigned
Aug 20, 2015
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3083711-4405 UT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3083711-4405 UT Primary

Addresses

Primary practice location

2297 N Hill Field Rd Ste 103
Layton, UT 84041-6927

Mailing address

2019 S Mountain View Blvd
Woods Cross, UT 84087-2545
Phone (801) 361-7650

Other practice location 1

2019 S Mountain View Blvd
Woods Cross, UT 84087-2545
Phone (385) 481-7638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3083711-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
Alliant Behavioral Health of Utah, L.L.C CurrentSince Aug 1, 2020 Accepting new patients
University of Utah Adult Services CurrentSince Nov 23, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Nov 23, 2015 Accepting new patients

Locations

225 N Adamswood Rd
Layton, UT 84040
Phone (385) 888-9040

2297 N Hill Field Rd
Ste 103
Layton, UT 84041
Phone (385) 888-9040

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1972979300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 S MOUNTAIN VIEW BLVD",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840872545",
            "telephone_number": "801-361-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2297 N HILL FIELD RD STE 103",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840416927",
            "telephone_number": "385-888-9040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2019 S Mountain View Blvd",
            "address_purpose": "LOCATION",
            "city": "Woods Cross",
            "state": "UT",
            "postal_code": "840872545",
            "country_code": "US",
            "telephone_number": "385-481-7638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "ANNELIESA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "3083711-4405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "3083711-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.