SHAYLEE C PETTIT NURSE PRACTITIONER
NPI 1215679931
Nurse Practitioner - Family in South Ogden, UT

Q: What is Shaylee Pettit's NPI number?

The NPI number for Shaylee Pettit is 1215679931. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Q: What is Shaylee Pettit's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shaylee Pettit was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2022

5711 S 1475 E STE 201, SOUTH OGDEN, UT 84403(801) 332-9034(678) 203-9134 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2023, Apr 12, 2022 (2 updates tracked since 2022).

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About Shaylee C Pettit Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAYLEE C PETTIT NURSE PRACTITIONER (NPI 1215679931) is an individual family provider in South Ogden, Utah, licensed in Utah (8614262-4405) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1215679931

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHAYLEE C PETTITCredential: NURSE PRACTITIONER

Location Address5711 S 1475 E STE 201South Ogden, UT 84403-5185

Mailing Address5711 S 1475 E Ste 201South Ogden, UT 84403-5185 · (801) 332-9034 · Fax (678) 203-9134

Phone(801) 332-9034

Fax(678) 203-9134

Sole ProprietorNo

Enumeration DateApril 12, 2022

Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration

NPPES CertifiedOctober 31, 2023

✔ NPI 1215679931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 8614262-4405

5711 S 1475 E STE 201, South Ogden, UT 84403

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WASATCH FUNCTIONAL MEDICINE

Clinic/Center

5711 S 1475 E STE 201
SOUTH OGDEN, UT 84403

Weber County (801) 332-9034

MS. CATHERINE KELLY PETERSON FNP-C

Nurse Practitioner (Family)

5711 S 1475 E STE 201
SOUTH OGDEN, UT 84403

Weber County (801) 332-9034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaylee Pettit's NPI number?

The NPI number for Shaylee Pettit is 1215679931. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Shaylee Pettit located?

Shaylee Pettit practices at 5711 S 1475 E Ste 201, South Ogden, UT 84403. The listed phone number is (801) 332-9034.

What is Shaylee Pettit's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shaylee Pettit was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.