Individual provider Active NPI

Karen Fronk, AGNP, BSN, RN

  • Adult Health Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1982333514
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11950483-4405 Issued in UT
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
11950483-4405UTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners, PC Single Specialty CurrentSince Mar 27, 2023 Accepting new patients
Ma Bo Inc Single Specialty CurrentSince Jun 14, 2022 Accepting new patients
Ma Bo Inc Single Specialty CurrentSince Jun 14, 2022 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.

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

Verify at the official NPI Registry.