Northern Valley Family Medicine
NPI 1285430207ActiveOrganization· Nurse Practitioner, Family· Logan, UT
Nurse Practitioner, Family in Logan, Utah, registered in NPPES in February 2025. The authorized official on file is Kimberly Lynn Tagg, FNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285430207 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2025 |
| Last updated in NPPES | Jun 30, 2026 |
| Certified by provider | Jun 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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