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COTTONTREE FAMILY PRACTICE
NPI 1407036189
Family Medicine in Provo, UT

Active since November 09, 2007CLIA 46D0865203 · Certificate of Compliance
2230 N UNIVERSITY PKWY, SUITE 1A, PROVO, UT 84604(801) 377-3413(801) 655-1890 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cottontree Family Practice NPPES

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

COTTONTREE FAMILY PRACTICE (NPI 1407036189) is a healthcare organization registered as a family medicine in Provo, Utah and active in the NPI registry since November 2007. The organization holds a CLIA Certificate of Compliance certificate valid through August 28, 2026 and lists Shauna Manhart, Manager, as its authorized official.

NPPES Registry Identity

NPI1407036189
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOTTONTREE FAMILY PRACTICE
Location Address2230 N UNIVERSITY PKWY, SUITE 1AProvo, UT 84604-1509
Mailing Address2230 N University Pkwy, Suite 1aProvo, UT 84604-1509 · (801) 377-3413 · Fax (801) 655-1890
Phone(801) 377-3413
Fax(801) 655-1890
Organization SubpartNo
Authorized OfficialShauna ManhartManager · (801) 377-3413
Enumeration DateNovember 9, 2007
Last NPPES UpdateSeptember 5, 2013
✔ NPI 1407036189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2230 N UNIVERSITY PKWY, Provo, UT 84604
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Other Identifiers 2

Medicaid1407036189UT
Medicare PIN000057007UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 46D0865203

Cottontree Family Practice · Provo, UT
Active · expires Aug 28, 2026
CLIA Number46D0865203
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorJames A. Woodmansee MD
Laboratory Phone(801) 377-3413
Laboratory LocationCottontree Family Practice2230 N University Pkwy #1a, Provo, UT 84604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

JOSHUA JAMES REDD D.C.
Naturopath
2230 N UNIVERSITY PKWY, 6B
PROVO, UT 84604
Utah County (801) 235-9944
DR. RICHARD J HOLMES M.D.
Family Medicine
2230 N UNIVERSITY PKWY, SUITE 1A
PROVO, UT 84604
Utah County (801) 377-3413
DR. JAMES A WOODMANSEE III M.D.
Family Medicine
2230 N UNIVERSITY PKWY, SUITE 1A
PROVO, UT 84604
Utah County (801) 377-3413
MR. BRIAN C PLATT P.A.
Physician Assistant (Medical)
2230 N UNIVERSITY PKWY, SUITE 1A
PROVO, UT 84604
Utah County (801) 377-3413
JASON GRAY PA-C, MPAS
Physician Assistant
2230 N UNIVERSITY PKWY, STE 9B
PROVO, UT 84604
Utah County (801) 375-3175
AARON D PAXMAN PA-C
Physician Assistant
2230 N UNIVERSITY PKWY, 9B
PROVO, UT 84604
Utah County (801) 375-3175
DR. DENNIS C HESS M.D.
Family Medicine
2230 N UNIVERSITY PKWY, SUITE 1A
PROVO, UT 84604
Utah County (801) 377-3413
VICTORIA ANAHI CUELLO FNP
Nurse Practitioner (Family)
2230 N UNIVERSITY PKWY, STE 9B
PROVO, UT 84604
Utah County (801) 375-3175

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 Cottontree Family Practice's NPI number?

The NPI number for Cottontree Family Practice is 1407036189. It was assigned to this organization in the NPPES registry on November 9, 2007.

Where is Cottontree Family Practice located?

Cottontree Family Practice is located at 2230 N University Pkwy Suite 1A, Provo, UT 84604. The listed phone number is (801) 377-3413.

What is Cottontree Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Cottontree Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 46D0865203) is associated with this NPI, valid through August 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cottontree Family Practice accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Cottontree Family Practice as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cottontree Family Practice was last updated on September 5, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.