RYAN D. CHURCH FNP-C – NPI #1912909714
Nurse Practitioner

RYAN CHURCH is a nurse practitioner located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1912909714 to RYAN CHURCH on August 11, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

The NPI profile was previously updated about 6 years ago on Nov 11, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RYAN CHURCH below.

NPI Profile for
RYAN D. CHURCH

NPI Number
1912909714
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RYAN D. CHURCH
Credentials
FNP-C
Primary location
1220 E 3900 S STE 1F
SALT LAKE CITY, UT 84124-1327
Phone: (801) 262-5711 Fax: (801) 262-5741
1 Other location(s):
74 E Kimballs Ln Ste 330
Draper, UT 84020-5006
Phone: (801) 266-3418
Fax: (801) 266-4174
Mailing address
PO BOX 741648
ATLANTA, GA 30374-1648
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Nov 11, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for RYAN CHURCH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSUT27893544001001
OTHERUPINUTP99858
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)
UT 278935-4405

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.