ASHLEY VALLEY PHYSICIAN PRACTICE, LLC — NPI 1952631400 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1952631400

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208M00000X (CMS C6)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist

Box 32 Service Location & ZIP+4

150 W 100 N, VERNAL, UT, 84078-2036

✓ 9-Digit EDI 837 ZIP+4 (84078-2036)

Practice Phone & Referral Fax

(435) 789-3342

Fax: (435) 789-1314

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1952631400 (ASHLEY VALLEY PHYSICIAN PRACTICE, LLC) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1952631400` (NPI-2 Organization / Facility)
Provider / Legal Name	ASHLEY VALLEY PHYSICIAN PRACTICE, LLC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist NUCC Code: `208M00000X` (Hospitalist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	150 W 100 N, VERNAL, UT, 84078-2036
Practice Telephone / Fax	Tel: (435) 789-3342 \| Fax: (435) 789-1314
Administrative Mailing Address	330 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027-5098
Enumeration & Last Sync	Enumerated: 2010-01-06 \| CMS Record Updated: 2024-09-18
Authorized Official	CHARLOTTE LAWRENCE (Secretary)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

150 W 100 N, VERNAL, UT, 84078-2036

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Plain-English Taxonomy & CMS Crosswalk (208M00000X)

What Does Taxonomy Code 208M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208M00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C6 (Physician/Hospitalist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Hospitalist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ASHLEY VALLEY PHYSICIAN PRACTICE, LLC)

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
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`2084N0400X` — Psychiatry & Neurology, Neurology Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`208600000X` — Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`208M00000X` — Hospitalist Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ASHLEY VALLEY PHYSICIAN PRACTICE, LLC (NPI #1952631400)