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Susanna Parker

Physician Assistant β€’ Bountiful, UT

Active NPI 1922707264 Individual Practitioner Female Practitioner
Practice location in NPPES

415 Medical Dr Ste A100
Bountiful, UT 840104995

Call 8016831062 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

415 Medical Dr Ste A100

Bountiful, UT 840104995

Telephone 8016831062
Organization at the Same NPPES Address or Phone
Neurobehavioral Center For Growth Llc Facility NPI 1942641931

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bountiful and Utah

33 active clinicians are listed under Physician Assistant with a practice address in Bountiful, UT (1,887 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bountiful

0% of these 33 clinicians have the CMS telehealth indicator.

72.7% of these 33 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES UT 14242213-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Brpt
24796 (UT)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Amos Grim , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013408806

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location May 10, 2026

Registered at 415 MEDICAL DR STE A100, BOUNTIFUL, UT 840104995 (Tel: 8016831062)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2026

Physician Assistant (license number reported to NPPES: UT 14242213-1206)

βœ…
NPI Profile Active February 27, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 27, 2023

Registered at 148 N 360 W, CENTERVILLE, UT 840142139 (Tel: 3852261821)

πŸ“
Business Mailing Address (Initial Record) February 27, 2023

Registered at 148 N 360 W, CENTERVILLE, UT 840142139 (Tel: 3852261821)

πŸ‘€
Provider Name / Credentials (Initial Record) February 27, 2023

Recorded as SUSANNA PARKER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration February 27, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922707264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2023
Last Update: May 22, 2026
Sole Proprietor: Yes

Other Physician Assistants in Bountiful

All Physician Assistants in Bountiful

Mailing Address

148 N 360 W

Centerville, UT 840142139

Phone: 3852261821

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.