Individual provider Active NPI

Karyn Anne Minkevitch, APRN-C, MSN, FNP

  • General Acute Care Hospital
  • Ogden, UT
National Provider Identifier
1992943401
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
3080945-4405 Issued in UT
Practice address
4300 Harrison Blvd
Ogden, UT 84403-3186
Phone
(801) 387-2371
Fax
(801) 387-4257
NPI assigned
Jan 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 3080945-4405 UT Primary

Addresses

Primary practice location

4300 Harrison Blvd
Ogden, UT 84403-3186

Mailing address

4300 Harrison Blvd
Ogden, UT 84403-3186
Phone (801) 387-2371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3080945-4405UTMDGeneral Acute Care Hospital

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1992943401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033186",
            "telephone_number": "801-387-2371",
            "fax_number": "801-387-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033186",
            "telephone_number": "801-387-2371",
            "fax_number": "801-387-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKEVITCH",
        "first_name": "KARYN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "APRN-C, MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "UT",
            "license": "3080945-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.