Individual provider Active NPI

Dallin Bawden, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Murray, UT
National Provider Identifier
1992533939
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10836815-4405 Issued in UT
Practice address
688 E Vine St
Murray, UT 84107-5549
Phone
(801) 436-6556
NPI assigned
Jul 22, 2024
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20250808001783 UT Practitioner - Nurse Practitioner 2466950522 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10836815-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Numinus Wellness Ut Inc CurrentSince Jul 24, 2025 Accepting new patients
Lone Peak Psychiatry, LLC Psychiatric/Mental Health CurrentSince Jul 28, 2024 Accepting new patients
Ogden Internal Medicine & Urology LLC PastSince Jul 24, 2025 Accepting new patients

Locations

2950 N Church St
Ste 101
Layton, UT 84040
Phone (801) 771-7202

688 E Vine St
Murray, UT 84107
Phone (801) 436-6556

672 W 400 S
Ste 201
Springville, UT 84663
Phone (208) 680-8226

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24950/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dallin.bawden.1@17324.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10836815-4405 UT Primary

Addresses

NPPES NPI Registry

Primary practice location

688 E Vine St
Murray, UT 84107-5549

Mailing address

688 E Vine St
Murray, UT 84107-5549

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2024.

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1992533939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 E VINE ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 E VINE ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075549",
            "telephone_number": "801-436-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWDEN",
        "first_name": "DALLIN",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "10836815-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.