Active NPI
Karen Fronk, AGNP, BSN, RN
- Adult Health Nurse Practitioner
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 11950483-4405
- Practice address
- 522 E 100 S
Salt Lake City, UT 84102-1905 - Phone
- (801) 485-5055
- NPI assigned
- Jun 8, 2022
- Last updated
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 11950483-4405 | UT | Primary |
Addresses
Primary practice location
522 E 100 S
Salt Lake City, UT 84102-1905
Mailing address
1945 Ridgehill Dr
Bountiful, UT 84010-1022
Phone (702) 686-3760
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11950483-4405 | UT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carelon Medical Partners, PC | Single Specialty | Current | Accepting new patients |
| Ma Bo Inc | Single Specialty | Current | Accepting new patients |
| Ma Bo Inc | Single Specialty | Current | Accepting new patients |
Locations
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800
4730 S Fort Apache Rd
Ste 140
Las Vegas, NV 89147
Phone (702) 352-1228
466 E 500 S
Ste 200
Salt Lake Cty, UT 84111
Phone (801) 485-5055
2825 E Cottonwood Pkwy
Ste 500
Salt Lake Cty, UT 84121
Phone (801) 653-3111
Organizations & group practices 3
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.
-
dba House Call Doctors
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1740461219
Single Specialty
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1982333514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 RIDGEHILL DR",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840101022",
"telephone_number": "702-686-3760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 E 100 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021905",
"telephone_number": "801-485-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRONK",
"first_name": "KAREN",
"credential": "AGNP, BSN, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "UT",
"license": "11950483-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.