NANCE LEE ALLEN, MPH, MS, APRN — NPI 1639224934 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health in SLC, UT)

CMS-1500 Box 24J / 33a • NPI

1639224934

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LA2200X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health

Box 32 Service Location & ZIP+4

3191 VALLEY ST, STE #210, SLC, UT, 84109-4274

✓ 9-Digit EDI 837 ZIP+4 (84109-4274)

Practice Phone & Referral Fax

(801) 487-2889

Fax: (801) 487-0859

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1639224934 (NANCE LEE ALLEN, MPH, MS, APRN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1639224934` (NPI-1 Individual Practitioner)
Provider / Legal Name	NANCE LEE ALLEN, MPH, MS, APRN
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health NUCC Code: `363LA2200X` (Nurse Practitioner, Adult Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3191 VALLEY ST, STE #210, SLC, UT, 84109-4274
Practice Telephone / Fax	Tel: (801) 487-2889 \| Fax: (801) 487-0859
Administrative Mailing Address	2700 KENTUCKY AVE, HOLLADAY, UT, 84117-5512
Enumeration & Last Sync	Enumerated: 2007-01-24 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3191 VALLEY ST, STE #210, SLC, UT, 84109-4274

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Plain-English Taxonomy & CMS Crosswalk (363LA2200X)

What Does Taxonomy Code 363LA2200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LA2200X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Adult Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (NANCE LEE ALLEN, MPH, MS, APRN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LA2200X` — Nurse Practitioner, Adult Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health	State: UT \| License: `4910921-4405` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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NANCE LEE ALLEN, MPH, MS, APRN (NPI #1639224934)