PRISM Provider Account Administrator Lookup
If your provider/facility is not listed, or if the administrator is no longer with your organization, please complete the user access request form opens in a new tab and email it to providerenroll@utah.gov.
Otherwise, please complete the user access request form opens in a new tab in the link below and send it to your administrator.
NPI | Provider Name | Administrator Name |
1639160708 | 180 MEDICAL INC | Brakebill, Amanda |
1366439507 | 3M Medical Solutions | Bingham, Rebecca |
1033558697 | 4 Healing Center | Taylor, Christina |
1033862719 | Abel, Jordan | Abel, Jordan |
1073137915 | Abner, Hannah | Maki, Kimberly |
1053821728 | ABS UT PC | Coffey, Darla |
Abundant Solutions LLC | Croxford, Nathan | |
Abundant Solutions LLC | Drollinger, Lance | |
1013482819 | Active Home Health | Benson, Jackie |
1497062681 | Adachi, Iki | Naranjo, Maria |
1922005347 | ADAMS, MICHAEL | Francee, Francee |
1538333265 | ADVANCE MEDICAL SRVCS INC. | Anderson, Natalie |
1245259282 | ADVANCED DIABETES SUPPLY | Dailey, Patricia |
1053357905 | ADVANCED RESPIRATORY INC | Mouchet, Julie |
1437627080 | Advanced Spine and Pain PLLC | Antczak, Kelsey |
1669780250 | AFI HOSPICE LLC | Vining, Jeff |
1457357881 | Ahee, Jason | Crabtree, Sheli |
1457357881 | Ahee, Jason | GRIM, AMY |
1346330966 | AKERLEY III, WALLACE | Fuentes, Seth |
1245414705 | Allen Chiropractic Care, LC | Allen, Kevin |
1851463087 | AllianceRX Walgreens Pharmacy #15443 | Morgan, Amey |
1942650148 | ALPINE MEADOW REHABILITATION AND NURSING | Tatum, Debra |
1588235345 | Altitude Pediatrics | Whitehead, Bradlie |
1497805733 | AMERIPATH TUCSON INC | Murdock, Angelina |
1831800994 | Anderson, Amy | Anderson, Amy |
1598291486 | Anderson, Bentley | MUMFORD, ELSA |
1265073274 | Anderson, Cole | Filby, Jennifer |
1235741042 | Anderson, Kristi | Bennett, Barbara |
1619213212 | ANOVORX GROUP LLC | Bellehumeur, Cathy |
1891857272 | APPLE TREE ASSISTED LIVING | Stoker, Elayne |
1255659389 | Arbelo Cruz, Norman | Barlow, Shenika |
1962832071 | Ardon Health | Magee, Muriel |
1033782933 | Arreola, Dayana | Birch, Ashly |
1982606992 | ASCEND CLINICAL, LLC | Manoukian, Leslie |
1093399479 | Ascend Healthcare Inc | Leslie, Joshua |
1447296249 | ASHLEY REGIONAL MED CNTR | Myers, Terri |
1184778607 | Aspen Ridge Home Health and Hospice | Wilson, Zachary |
1861869091 | Aspen Senior Care | Staples, Gary |
1376548271 | ASSOC REG and UNIV PATH LAB | Wilkerson, Stacey |
1861842874 | Aste, Whitney | Webster, Johanna |
1922365436 | Austin, Colby | Pohlman, Helen |
1285627455 | AZARCON JR, JOSE | Comeau, Kathleen |
1841656691 | Baker, Leanne | Flores, Leslie |
1184814014 | BAKOTIC PATHOLOGY SERVICES | Nguyen, Tiffany |
1437113339 | BALBIERZ, JANET | Balbierz, Carolyn |
1376522573 | BALLIF, MARK | Akrouche, Sarah |
1831404136 | Balwan, Akshu | KIRSLING, DONNA |
1629148465 | Banks, Steven | Sevy, Alisha |
1275566200 | BANNER ESTRELLA MED CNTR | Willis, Shaylee |
1770697351 | BARLOW, SHIRLEY | Felix, Meghan |
1346536646 | BARNETT, CHRISTOPHER | Barnett, Christopher |
1194463133 | Barney, Derek | Barney, Derek |
1699239988 | Barney, Meredith | Barney, Meredith |
1245556661 | Barrick-Groskopf, Lindsey | Hirth, Frances |
1841633468 | BARTON, KATHERINE | Miller, Christine |
1841766201 | Beatty, Taylor | Macias, Christine |
1841766201 | Beatty, Taylor | Pfatenhauer, Ashley |
1174979108 | BEAVER VALLEY HOSPITAL | Gale, Mindy |
1760401525 | Beebe, Jesse | Peterson, Kristen |
1215302245 | Beechtree Diagnostics LLP | LaFountain, Jennifer |
1437780673 | Beecon Recovery INC | Pool, Tony |
Beehive Home of Layton | Dunkley, Noelle | |
Beehive Homes of Magna | Ibarra, Kimberly | |
1316356439 | Beehive Homes of Washington County #5 | Horne, Shauna |
1275123143 | Behavior Supports and Solutions LLC | Robles, Richard |
BEL AIRE SENIOR LIVING | Freeze, John | |
1376255125 | Bemis, Haley | Taylor, Camille |
1346568565 | BENEDETTI, NANCY | Anderson, Carla |
1730681842 | Benns, Catherine | Stone, Heidi |
1225750417 | Benyo, Brooklynn | Larson, Camille |
1457719924 | Bergeron, Penelope | Bergeron, Penelope |
1598236457 | Bergeson, Dane | Ortiz, Maricela |
1699268581 | Berquist, John | Powell, Melanie |
1396107595 | Berrett, Brian | Edwards, Kellie |
1396107595 | Berrett, Brian | Essex, Jennifer |
1275912040 | BIG SMILES UTAH PC | Amendt, Laura |
1598314437 | BillionToOne Laboratory | Waskiewicz, Mary |
1295710960 | BINGHAM, RONALD | Bingham, Ronald |
1609818616 | BISHOP, JON | Thomas, Lindsay |
1851016380 | Black, Angela | Dow, Mary |
1356729859 | Black, Elizabeth | Patterson, Jamie |
1104120708 | Blais, Adam | Blais, Adam |
1508512757 | Blakey, Melissa | Blakey, Melissa |
1629620125 | Boone, Stephen | Flanders, Khymm |
1174539142 | BOUNTIFUL FAMILY HEALTHCARE | Williams, Lacie |
1841927175 | Boynton, Kyla | Garcia, Samantha |
1407187362 | BRAUER, JACK | Miller, Jaime |
1043635097 | BRAVO, JOSHUA | Pace, Whitney |
1750859583 | Bridge Dialysis | Laurent, Christie |
1295270601 | Brightwork Villa Park Place LLC | Julian, Chris |
1972172260 | Bringhurst, Jackie | Ogden, Amanda |
1750783783 | Brown, Amy | Dumelow, Charann |
1164627725 | Brown, Colin | Whittington, Kimberly |
1437816089 | Brown, Jayci | Brown, Jayci |
1437816089 | Brown, Jayci | Harding, Christy |
1093708166 | Brown, Todd | Wehrli, Carlie |
1528006103 | BRYAN MEDICAL CENTER | Karr, Wendy |
1710162227 | BUCHANAN, THOMAS | Myers, Randall |
1235557257 | Buell, Eric | Cannon, Bonnie |
1679082952 | Bulloch, Micah | Bartlett, Gretchen |
1669065470 | Burg Children's Dentistry & Orthodontics - Vine Street | Bergmann, Lauren |
1366118424 | Butler, Scott | Kerness, Monica |
1285663021 | CACHE VALLEY PHARMACY | Cowley, Phillip |
1316460850 | Calm Clinic | Walker, Alicia |
1295743763 | Cannon, David | Kunde, Becca |
1144984873 | CAnvi Behavioral Health | Batts, Krista |
1144984873 | CAnvi Behavioral Health | McCarthy, Hailey |
1881991701 | CANYONLANDS CARE CENTER | Oxner, Becky |
CARRINGTON COURT | Davis, Tery | |
1174569990 | CARTER, RANDY | Ledbetter, Hannah |
1689104812 | Carter, Reed | White, Charmaine |
1558628313 | Carter, Sabrina | Apolinar, Angelica |
1093895286 | CASTILLO, WILLIAM | Ltd, William |
1801464292 | Castle, Bronwynne | Castle, Bronwynne |
1972026227 | Castleview Cardiology | Myers, Randall |
1417064205 | CASTLEVIEW HOSPITAL LLC | Powell, Hayley |
1689084196 | Caverly, Erin | Madril, Leslie |
1104978790 | CENTRAL VALLEY HOME HEALTH | Bryan, Janna |
1770060980 | Centro de Salud | Cruz, Maria |
1912311192 | chan, kamun | Prasad, Savita |
1326407578 | CHANCELLOR GARDENS AT CLEARFIELD | Munoz, Denise |
1376521773 | Chess, David | Chess, David |
1801344726 | Children's Service Society of Utah | Beckstead, Kassadi |
1801344726 | Children's Service Society of Utah | Gallardo, Encarni |
1396079471 | CHISHOLM, RICHARD | Chisholm, Richard |
1316118284 | CHISHOLM, WAYNE | Chisholm, Wayne |
1073627295 | CHRISTENSEN, BRETT | Kolu, Melaine |
1992198618 | Christensen, Kay | Christensen, Kay |
1891898045 | CHRYSALIS UTAH DDMR | Carroll, Bryce |
1811979214 | CLAYTON, DANIEL | Packer, Kris |
1336149426 | COCHLEAR AMERICAS | Devlin, Rebecca |
1326306481 | Cohen, Ariel | Hultberg, Eric |
1104395821 | COLOR COUNTRY PHYSICAL THERAPY LLC | Applegate, Chellese |
1124023981 | Colorado Infectious Disease Associates LLP | Malisch, Uma |
1306831250 | Colorado West Otolaryngol | Lenz, Jeannine |
1336508571 | COMFORCARE NORTHERN UT NC | Bushman, Raquel |
Community Care Transitions Program- Waivers | Pavelka, Emily | |
1639127079 | Community Nursing Services | Long, Melissa |
1477809051 | Connect America.com LLC | Parchesky, Sara |
1437493533 | Conversio Health | Henderson, Debbie |
1285287821 | CORMEUM LAB SERVICES LLC | Silliman, James |
1114371580 | Corner Canyon Counseling | Cortez, Julian |
1821163726 | COTTAGE GLEN ASSISTED LIV | Pulsipher, Alex |
Country Home Assisted Living | Simmons, Conner | |
1104037563 | COUNTRY PINES PHASE 2 | Bach, Cheryl |
1831686823 | Covington Senior Living LLC | Anderson, Riley |
1700143906 | Cox, Daniel | Larsen, Lori |
1740941541 | Cracroft, Stephen | White, Lindsey |
1649353715 | CRAWFORD, GARY | Shively, Linsey |
1225119837 | Crawford, Ira | Crawford, Ira |
1205404290 | Creek Dental Group- Trolley Place | Eddings, Jessica |
1104077817 | CROWLEY, JAMES | Flinton, Lori |
1104077817 | CROWLEY, JAMES | Levanger, Charisse |
1427076405 | DACHMAN, WILLIAM | Resendez, Monica |
1710975420 | Dalere, Mente | Kilgore, Latisha |
1639412125 | DARAGON, ELLISANDRE | Hage, Kathleen |
Darwin Transportation LLC | Spitzer, Kevin | |
1861621864 | DAVIES, JARROD | Halling, Kennadee |
1649364670 | DAVIES, KENDELL | Davies, Kendell |
1740406842 | DAVILA, L | Davila, L.John |
DAVIS COUNTY AGING SRVC AW | Mahan, Shawna | |
1265191316 | Day, Gordon | Day, Gordon |
1144955691 | Day, Julie | Jensen, Devin |
1114937984 | DEL CARMEN, VILLA | Bermudez, Monique |
1922308618 | Dentistry For Children | Rooklidge, Erik |
1114287612 | DEPOLA, MICHAEL | Doxey, Sarah |
1689635799 | DERMATOLOGY CENTER OF SALT LAKE. | Loveless, Melissa |
1821477951 | Dickinson, Regina | Morehead, Mindy |
1184398836 | Disera, Anna | Grant, Susan |
1760972178 | Dorsett, Bret | Chengappa, Katherine |
1992005938 | DR JEFFREY TIPTON OD PC | Tipton, Jeffrey |
1841681640 | Draper, Chelise | Stone, Heidi |
1104390111 | Duke Mobile Medical | Ausmus, Dawn |
1972960201 | Durrani, Ayefa | Shumway, Lindsey |
EAQUINTA, EVELYN | Riche, Debra | |
1952355935 | Eastern Idaho Regional Med Center | Tuckett, Cody |
1730688987 | Edgepark Medical Supplies - Pharmacy | Schlissberg, Rob |
1609858729 | EdgeparkMedicalSupplies | Alvarez, Anthony |
1821606476 | Elder, Ryan | Smith, Sherian |
1427211325 | ELDREDGE, DANIEL | Eldredge, Daniel |
1821030909 | Electromed Inc. | Korum, Kathy |
1831679588 | Elevate Home Health LLC | Gillman, Jennifer |
1326503053 | Elevation Behavioral Science Services | Merritt, Danielle |
1932848678 | Elite Carpel Tunnel LLC | Taylor, Susan |
1023376340 | Elliot, Shari | Bowers, Shylah |
1821761867 | Embrace Counseling | Green, Shantaye |
1659954501 | Empowered Me Counseling Centers | Draughan, Heather |
1205377256 | English, Brittany | Diviney, Chuck |
1659945343 | Enoch Community Healthcare | Merrell, Stuart |
1396348181 | Ensign, Kelly | Quaife, August |
Enter | Andres, Jacquelyn | |
1659599611 | ERICKSON, JEFF | Phillips, Allison |
1023754561 | Escalante at Coventry | Anderson, Marsha |
1598428906 | Escalante at Draper | Ellison, Suzanne |
1568407310 | Eskenazi Health | Lang, Rebecca |
1487034369 | ESPLIN, TREY | Esplin, Trey |
1093374738 | Estall, Julianna | Estall, Julianna |
1104255215 | ETHOS LABORATORIES1 | Holloway, Jessica |
1417629007 | Evans, Elisa | Grow, Tj |
1811942964 | EVANS, WILLIAM | Price, Valerie |
1780823500 | Exact Care Pharmacy LLC | Fenwick, Sarah |
1760956221 | Eye Pros | George, Laurel |
1760126825 | Falks, Viveca | Vergara, Gabriela |
1508040221 | Family Surgical Suite | Smith, Michelle |
1003820234 | FENTON, PAUL | Garcia, Tammy |
1396971271 | FERGUSON, JARED | Rabuck, Megan |
1356792634 | Fit Prosthetics LLC | Reynolds, Alex |
1114154622 | Fit-Well Prosthetic And Orthotic Center | Hunsaker, Chris |
1588937403 | FLD LLC | Martin, Joshua |
1679128599 | Flourish Therapy, Inc. | Tew, Samuel |
1952015273 | Ford, Aubrey | Olsen, Jennifer |
1265034086 | FRANDSEN, HEIDI | Decker, Jennifer |
1922028554 | FRANKLIN, JOACHIM | Enrollment, Provider |
1710280177 | FRASER, ASHLEI | FRASER, ASHLEI |
1801563051 | Frazier, Alysha | Ward, Meg |
1417280678 | FRESH MARKET PHARMACY #2307 | Roberts, Jessica |
1265146336 | Fullmer, Jennie | Lynn, Julie |
1174915425 | Gables of Brigham City | Willits, Dave |
1679902936 | GABLES OF N LOGAN ASSIST LIVING | Willits, David |
1770187163 | Gadzoom Health LLC | Owen, Jackson |
1003023177 | Galloway, Elizabeth | Torralba, Belle |
1720560915 | Gamble, Adrienne | Mortensen, Amber |
1811245970 | Gandhi, Viral | Alpough, Sheneaqua |
1225449887 | Ganti, Arun | Vanderpool, Dana |
1487294211 | Garcia Valdez, April | Garcia, April |
1588223622 | Gardiner, Rebecca | Powell, Crystal |
1528780772 | Gardner, Grace | Ruud, Ryan |
1598861999 | GARY F HOLLAND MD PC | Krumbah, Sara |
1144705583 | Gashler, Brian | Stinson, Kenyon |
1780251835 | Gates, Melissa | Alfaro, Rachel |
1275098998 | Gateway Physical Therapy and Sports Rehab | Malan, Melissa |
1386275055 | Gatrell, Rebecca | Barton, Rebecca |
1215078696 | Gebauer, Lothar | Hargett, Kairee |
1588942502 | Genoa Healthcare LLC | Dixon, Carol |
1225490444 | Gensure, Rebekah | Ledbetter, Hannah |
1508145632 | GEORGE, MICHAEL | Coley, Natalie |
1619336252 | Gerry, Sherrie | Gerry, Sherrie |
1851595854 | Giangiacomo, Faye | Bowden, Amber |
1003218702 | Gilbert, Kathryn | Larraondo, Maria |
1528555257 | Glauser, Karen | Garcia, Tammy |
Golden Fences | DeGregoria, Juanita | |
1477098945 | Gonzales-Torres, Maria | Viertel, Taylor |
1396180386 | GONZALEZ, Abigail | Coffman, Lora |
1811902505 | GOPINATH, ARASU | Davis, Jennifer |
1255597043 | GRACEY, NATHAN | Gracey, Nathan |
1396967535 | Grand Preschool | Sweeney, Judy |
1306829056 | GRANDY, LAWRENCE | Jackman, Linzi |
1306829056 | GRANDY, LAWRENCE | Thompson, Taylor |
1295103935 | GUBLER, MATTHEW | Schwartz, Dayna |
1033210067 | GUBLER, TROY | Olsen, Caleen |
1407926272 | GUNN, JOSHUA | Lathim, Sari |
1952463036 | GUNNISON VALLEY HOSPITAL | Murray, Brian |
1952463036 | GUNNISON VALLEY HOSPITAL | Williams, Skylah |
1952463036 | GUNNISON VALLEY HOSPITAL | Williams, Skylah |
1952790230 | HANCOCK, CHARRISSE | Chengappa, Katherine |
1396007316 | Hansen, Kellen | Tanner, Marquel |
1144782558 | Harline Andelin, Kate | Andelin, Kate |
1700447612 | Harper, Jason | Harper, Jason |
1538542030 | Harper, Madison | Benson, Carrie |
1548745979 | Harris, Mitchell | Tice, Rachel |
1578626727 | HARTLE, AARON | Hartle, Aaron |
1144751611 | Hartman, Hanna | John, Laura |
1508125295 | Hartman, Neal | Tobine, Tony |
1194365742 | HAWKINS, RILEY | Davis, Alison |
1295820199 | HAWKINS, ROBERT | Martinez, Erika |
1821663675 | Hawks, Daxton | Olson, Kristen |
1477740249 | HBHM, Inc | Moren, Kathleen |
1316055205 | HEBER VALLEY HOSPITAL | Bagshaw, Shawna |
1396802617 | Heber Valley Physical Therapy Inc | Clyde, Willis |
1881268514 | Hedges, Natalia | Hallis, Michelle |
1508109489 | Henrie, Nathan | Enoah, Sandra |
Heritage Gardens of Springville Utah LLC | Vom Dorp, Rebecca | |
1376096966 | Herriman Pediatric Dentistry | Shigley, Alisha |
1790274652 | Hervias, Matthew | Schulz, Angela |
1508044314 | Hinich, Erin | Cannon, Bonnie |
1457611725 | Hintzsche, Gabriel | Vanderpool, Dana |
1730706458 | Hoffmann, Audrey | Thompson, Kandee |
1215248612 | HOFMANN ARTHRITIS INST | Tanner, Linsey |
1912118225 | Hoglund, Stephanie | Thurgood, Raunde |
1770124893 | Holladay Psychological Services | Harris, Emily |
1740761360 | Holliday, Dashelle | Holliday, Dashelle |
1891455895 | Home Clinix | Holmgren, Danny |
Home Helpers of St.George | Coon, Benjamin | |
Home Helpers of St.George | Seniors, Paradigm | |
1033199922 | Homecare Medical Equipment | Rotech, Rotech |
Hometown Personal Care Services, LLC | Runolfson, Amie | |
1508464371 | Homewatch CareGivers of Scipio | Mckee, Michelle |
1508464371 | Homewatch CareGivers of Scipio | Whatcott, Kevin |
1548450281 | Horizon HOSPICE SPECIALISTS | Woolley, Scott |
1215969787 | HOSP OF PROV SIERRA CAMPUS | Barnett, Mendy |
1558978684 | Howard, Ashlee | Swearingen, Regan |
1265842579 | Huey, Elyse | Winn, Greg |
1396298048 | Huffaker, Paul | Collis, Ashley |
1861158537 | Hull, Jessica | Fisher, Tiffany |
1144387622 | HULSE, BENJAMIN | Hulse, Benjamin |
1316686058 | Hunsaker, Jenna | Piciullo, Teressa |
1184335697 | Hutchinson, Kacey | Hutchinson, Kacey |
1265784656 | IN FOCUS OPTICAL | Soderborg, Lisa |
1326294844 | Inglish, Daniel | Neal, Deborah |
1215125463 | INNOVIS HEALTH LLC | Klonowski, Crystal |
1881856706 | INTEGRITY HOSPICE LLC | Babin, Ethan |
1366560484 | INTERMOUNTAIN MEDICAL MANAGEMENT JAHAN IMANI MD | Imani, Jahangir |
1437184421 | Ishimine, Paul | Hultberg, Eric |
1083635692 | IVY LANE PEDIATRICS LLC | Hess, Jarika |
1083635692 | IVY LANE PEDIATRICS LLC | Rodriguez, Nannette |
1174840870 | JACKETTA, DANIELLE | Fisher, Suzanne |
1174840870 | JACKETTA, DANIELLE | Jacketta, Danielle |
1457950529 | Jacobson, Justin | Rosas, Camila |
1396918462 | JACOBS-PETERSON, LUANN | Cates, Laura |
1912418898 | Jacquez, Nathan | Jacquez, Nathan |
1043657471 | JB Healthcare LLC | Accordino, Deidre |
1598351041 | JBR Surgical Associates LLC | Bertola, Britney |
1780302158 | Jefferies, Garrett | Rowley, Jamie |
1376116764 | Jenna Shirley Counseling | Moffat, Hollie |
1568929347 | Jeppesen, Crystal | Sutton, Patricia |
1477584993 | JOHN F KENNEDY MEMORIAL HOSPITAL | Larson, Christopher |
1629001474 | JOHNSON, JODIE | Revas, Natalee |
JOHNSON, PRISCILLA | Giffard, Mary | |
1437779410 | Johnson, Sandra | Garner, Andre |
1699039644 | Jolley, Elliott | Jolley, Elliott |
1225652290 | Jones, Angela | Hill, Claudia |
1972089571 | Jones, Brian | McPhie, Jennifer |
1629493242 | Jones, David | Ford, Leslie |
1255862827 | Jones, Eric | Mattinson, Amanda |
1740857804 | Jones, Kashley | Gagon, Gina |
1487963278 | Jordan Landing Dental Care PC | Erickson, Andrew |
1770509754 | JORDAN RIDGE FAMILY MEDICINE | Sanchez, Maureen |
1316974108 | JORGENSEN, JAMES | Monroe, Stacie |
1871649467 | Joseph W Jensen DO PC | Karasek, Stephanie |
1619960663 | JQ MEDICAL SUPPLY INC | Thurman, Tricia |
1750020855 | JWalker Intensive Outpatient | Bowen, Mallory |
1104484377 | Kale, Vijay | Kale, Vijay |
1710010343 | Katwal, Arabindra | Garcia, Tammy |
1235657214 | Kendrick, Jillian | Lovelace, Valeria |
1407321722 | KENWORTHY, TRENT | Mata, Enrique |
1467504746 | KHAN, HASSAN | Galinas, Missy |
1750634507 | KIDDE, JASON | Knight, Connie |
1750634507 | KIDDE, JASON | Velardo, Jessica |
1851611206 | KILLIAN, JOSHUA | Loescher, Becky |
1922380153 | KIMBALL, PAIGE | Everley, Austin |
1164884441 | King, Christine | Bakker, Briele |
1164884441 | King, Christine | Vieira, Danielle |
1134849300 | Kippen, Hollie | Stubbs, James |
1134849300 | Kippen, Hollie | Yeip, Tana |
1134849300 | Kippen, Hollie | Yeip, Tana |
1649780701 | Korchyk, Ashley | Miggains, Taylor |
1962175109 | Krukow, Philip | John, Laura |
1649377540 | KRULL, ANGELA | Merrill, Marci |
1285357814 | Kwiatkowski, Kaitlin | Fehrman, Jessie |
1285357814 | Kwiatkowski, Kaitlin | Fritzsche, Kristal |
1285357814 | Kwiatkowski, Kaitlin | Rein, Samantha |
1134188394 | L CRAIG LARSEN DPM PC | Lofthouse, Whitney |
1730179714 | Lakewood Ranch medical Center | Madril, Leslie |
1477178697 | Lambert, Colton | Arguello, Marina |
1265446751 | Langford, Jefferson | Ryan, Jessica |
1932551801 | Larson, Jeremy | Larson, Jeremy |
Laurel Groves Assisted Living | Eddington, Heather | |
1457450777 | Leavitt, David | Bracken, Holli |
1053755769 | Lee, Muriel | Lee, Muriel |
1396778015 | Lemos-Filho, Luciano | Khounphonh, Vicki |
1801873534 | LIBRE, KENNETH | Libre, Kenneth |
Lifeline Systems Company | Croci, Dahci | |
1871260497 | Lighthouse Youth & Family Therapy | Crane, Charles |
1255845665 | Lind, Meridith | Knapp, Karla |
1619605714 | Livingston, Rachel | Livingston, Rachel |
1013339373 | LLOYD, KAYDON | Purcell, Kathryn |
1457564650 | LLOYD, WENDY | Lloyd, Wendy |
1538547641 | LOMOND PEAK NURSING AND REHABILITATION | Anderson, Wendy |
1538547641 | LOMOND PEAK NURSING AND REHABILITATION | Calder, JoAnne |
1952833220 | Lucas, Fabiola | Godoy, Cristopher |
1831296508 | Luckart, JULIE | Shutt, Jodi |
1558737452 | LUND, ALEXANDRIA | Lund, Alexandria |
1912072620 | LUND, TRACE | Markham, Kevin |
1659885317 | Lundquist, MaryNell | Sawyer, Amy |
1043811045 | Mabon, Nathan | Chavez, Laura |
1205154978 | Macfarlane, Lindsey | Macfarlane, Lindsey |
1689635914 | MADSEN, EDWARD | MADSEN, EDWARD |
1336672633 | Madsen, Sara | Tucker, Gennie |
1114110079 | MALAN, VERNON | Chase, Darin |
1992330732 | Manco, Justin | Manco, Justin |
1629098108 | MANOV, LUDMIL | Durfee, Denise |
1801119599 | Mansfield, Sonya | Fonte, Katie |
1821559519 | Marett, John | Bird, Jill |
1174281018 | Marula, LLC | Davis, Vicki |
1598906455 | Mason Health Mason Clinic | Vanderpool, Dana |
1184044190 | Maxwell, Kevin | Wood, Stacey |
1164041570 | McAdams, Kassondra | McAdams, Kassondra |
1295017630 | McAffee, Coy | Mcaffee, Coy |
1093898157 | MCBEE, WILLIAM | Heyes, Danielle |
1093898157 | MCBEE, WILLIAM | Shively, Linsey |
1922423532 | McCormick, Michael | Garcia, Selena |
1194915561 | MCDONALD, RYAN | Chappuis, Jennie |
1366157166 | McKinney, Caleb | Villalobos Vargas, Jocelyn |
1902905714 | MCMULLIN, KARL | Delucchi, Becky |
1245657501 | MEADOWBROOK REHAB NURS | Lee, Suzanne |
1053801340 | Mears Health Mart Pharmacy | Mears, Jonathon |
1720306566 | Med Fusion, LLC | Rando, Kathy |
1073102901 | Medical Accident Center | Brown, Sara |
1639777568 | Megan Komatsu Inc | Komatsu, Megan |
1326488651 | Mehta, Disha | Goss, Charlene |
1639195472 | Meier and Marsh Professional Therapies | Vidal, Anna |
1023094992 | MELLOR, ROBERT | Dutton, Catie |
1518273119 | Melton, Joshua | Waldrop, Angela |
1437882503 | Merrill, Alyssa | Merrill, Alyssa |
1205177722 | Mervyn Sharp Bennion Central Utah Veterans Home | Ahlstrom, Christina |
1457318917 | MESA VISTA | Root, Karen |
1679829477 | Metcalf, Jamison | Gubler, Mitchell |
1083937593 | METHODIST HOSPITAL | Myers, Courtney |
1023745346 | Middleton, Benjamin | Castagna, Valerie |
1023480225 | MILLCREEK REHABILITATION AND NURSING | Wheeler, Kamarie |
1497933162 | MILLENNIUM HEALTH LLC | Jansen, Vanessa |
1871912386 | Miller, Elan | Liberti, Lindsey |
1720798648 | Misner, Kimberly | Misner, Kimberly |
1205573540 | Mitchell, Megan | Manley, Amanda |
1134680093 | Mitchell, Shasta | Jensen, Erika |
MOBILITY TRANSPORTATION | McDonald, Jackie | |
1588393821 | Mojave Health, LLC | Romero, Lauren |
1730194523 | MOLIS, GREGORY | Molis, Greg |
1679122261 | Monogram Biosciences, Inc | Moore, Alayna |
1134831647 | Montague, Nickolas | Yocum, Amy |
1336854595 | Montes, Jennifer | Montes, Jennifer |
1528083771 | Montrose Memorial Hospital | Beaver, Megan |
1528085016 | Morrill, David | Morrill, David |
1497118897 | Morris, Erin | Hernandez, Jennifer |
1861983074 | Morrison, Nicole | Probert, Brittany |
1386744183 | MOUNTAIN VIEW HLTH SRVCS | Boden, Evangeline |
1972500445 | MOUNTAIN WEST INC | Lisk, Lauara |
1750655692 | MRB ACQUISITION CORP | Brown, Elizabeth |
1538345251 | MULTICARE VALLEY HOSPITAL | Akimseu, Nikki |
1699282426 | Murdock, Brett | Murdock, Brett |
1942396643 | MYERS, JOSEPH | Bracero, Stephanie |
1942396643 | MYERS, JOSEPH | Elmer, Darci |
1902377146 | NAKAMURA, AIMEE | Searle, Mona |
1710149299 | National Seating and Mobility Inc | Nepp, Brenda |
1710149299 | National Seating and Mobility Inc | Weiss, Connie |
1356307581 | NEBRASKA MEDICAL CENTER | Adcock, Stacie |
1417004227 | NEIBAUR, BEN | Neibaur, Ben |
1770851602 | Neibaur, Jacob | Drapic, Jess |
1750473948 | NEPHROLOGY ASSOCIATES GRP | Ekre, Amber |
1588767891 | NEWMAN, CHRISTY | Olson, Leslie |
1467100461 | Newman, Jody | Palencia, Claudia |
1205227709 | Newman, Tyler | Hancey, Elisha |
1013082270 | Newton, Steve | Burnam, Soon |
1144364662 | NIITSUMA LIVING CENTER INC. | Niitsuma, Danielle |
1336302876 | Nim, Jennifer | Yergensen, Aj |
1649457219 | NORRIS, LISA | Stapleton, Randee |
1366077273 | NPH Anesthesia of Utah LLC | Bradley, Laura |
1750759809 | OAK RIDGE ASSISTED LIVING | Young, Tyler |
1508436890 | OASIS Ascent | LeSueur, Suzy |
1730265919 | Obstetrix of the Mountain States, Pediatrix Specialty Care of Utah, Surgical Specialty Care of Utah | Hernandez, Jennifer |
1336273390 | OLSON, MARK | Olson, Mark |
1508810508 | OLYMPUS FAMILY MEDICINE | Thurgood, Annie |
1922181650 | Optum Frontier Therapies, LLC | Curran, Mary |
1528502788 | Orn industries LLC | Stevens, Michelle |
1669797742 | ORR, ROCHELLE | Garcia, Tammy |
1881250470 | Orton, Amy | Stone, Heidi |
1750026456 | Orton, Dean | Albrecht, Tyler |
1720718521 | Overstreet, Kamryn | Kener, Madalyn |
1417974098 | OVESON, MARK | Nelson, Von |
1194033407 | Ovian, Deepa | Keeney, Sara |
1750691077 | PACK, LELAND | Tanner, Samantha |
1518959535 | Packer, Kraig | Hess, Bree |
1184118390 | PARKWAY HEALTH CENTER | Porter, Whittney |
1184118390 | Parkway Health Center | Porter, Whittney |
1689916116 | Parsell, Elizabeth | Gray, Kari |
1437445509 | PATTY, DANIEL | Harden, Jennifer |
1841869930 | Pearce, Tate | Griffiths, Ricquelle |
1366711087 | Pediatric Smiles and Braces | Shepherd, Adam |
1205290053 | Pediatric Surgeons | Hutchinson, Richard |
1083220578 | Perry, Amy | Perry, Amy |
1528041662 | PERSONAL PERFORMANCE MED | Hunsaker, Carolyn |
1972078251 | Peterson, Kyle | Peterson, Kyle |
1467464925 | PharMerica. | Edwards, Lisa |
1811614811 | Phoenix Mental Health Services | Roberts, Alisa |
1679956445 | PINE TOP MEDICAL PC | Murdock, Holly |
1801874771 | PIONEERS MEDICAL CENTER | Coulter, Danette |
1801874771 | PIONEERS MEDICAL CENTER | Quint, Maria |
1801874771 | PIONEERS MEDICAL CENTER | Walton, Hannah |
1235136235 | PLEASANT GROVE AMBULANCE | Peterson, Tyler |
1346271251 | POPLAR HEALTHCARE PLLC | Cain, Julie |
1124677547 | Precision Psychological Services PLLC | Bowen, Megan |
1730466590 | PRECISION TOXICOLOGY | Livesay, Amanda |
1487191573 | Premier Lab Solutions | Oltrogge, Candice |
1588969539 | PRIMARY CARE PEDIATRICS | Brenchley, Lindsay |
1639769953 | Prime Labs LLC | Richardson, Marcus |
1548367063 | PRISM MEDICAL PROD | Groce, Candice |
1053363119 | PROVIDENCE ALASKA MEDICAL CENTER | KORKIS, JILL |
1417038951 | PsychologicalAssessmentandTreatmentSpecialists | Gentry, Steve |
1215167531 | Purkey, Neha | Truong, Hanh |
1619161007 | Pursifull, Nathan | Langell, Patricia |
1548835911 | Quadrant Laboratories LLC | Fiore, Caitlin |
1750001277 | Quiroz, Andrea | Wood, April |
1295403913 | Ramer, Maureen | Golesh, Jeremiah |
1568431575 | RAPPLEYE, ALAN | Millet, Debbie |
1598982233 | RASMUSSEN, ROCHELLE | Rasmussen, Rochelle |
1437870540 | Red Rock Clinical Services | Henthorn, Angela |
1669746525 | RED ROCK HLTHCARE HOSPICE | Johnson, Lee |
1669746525 | RED ROCK HLTHCARE HOSPICE | Van Leeuwen, Lynsey |
1396018545 | Red Rock Medical Supply | Liskey, Michelle |
1508962176 | REDDY, CHAKRAVARTHY | Lee, Cheryl |
1114016706 | REDWOOD PHARMACY UUHN | Howell, Kellee |
1639264427 | REDWOOD VISION CENTER | Brown, Paula |
1063405074 | REGENTS OF THE UNIV OF CA | Brown, Jessyka |
1891451712 | Rising Ridge Recovery | Young, Susan |
1164137170 | River Hollow Mental Health PLLC | Mortensen, Amber |
1043936446 | Rivera, Sharon | Chee, Kaylan |
1750993341 | Roberts, Allyson | Utley, Tristan |
1851884043 | Roberts, Diana | Maldonado, Cynthia |
1336753755 | Roberts, Laurel | Little, Heather |
1144281122 | Robertson, Glenn | Pauly, Lindsay |
1376218222 | Robinson, Amy | Terry, Karley |
1053456095 | Robinson, Gary | Robinson, Gary |
1700302809 | Robinson, Vicki | Dalanhese, Rick |
1700302809 | Robinson, Vicki | Larson, Taylor |
1306818190 | ROCCO, JEFFREY | Gordon, Tina |
1346332970 | ROCK SPRINGS IV CENTER | Wright, Melinda |
1659725588 | ROMERO, MLINDSEY | Lontine, Karry |
1285803361 | ROY VISION CENTER INC | Rencher, Stacy |
1174288062 | Rural Dietitians | Reidhead, Alyssa |
1295208742 | Ruske, Christian | Ruske, Christian |
1548549066 | Sagis PLLC | Castro, Jane |
1417946021 | SAINT JOSEPH HOSPITAL | Streeper, Amy |
1235260795 | SALT LAKE VALLEY HLTH DEPT | Fuchs, Tennielle |
1235260795 | SALT LAKE VALLEY HLTH DEPT | Smithee, Maureen |
1932166980 | SALT LAKE VALLEY MENTAL HLTH | Smith, Melinda |
1932166980 | SALT LAKE VALLEY MENTAL HLTH | Villalobos Vargas, Jocelyn |
1043267727 | Samaritan Hospital | Roberts, Derrick |
1700168721 | Sanchez, Brandon | Gilbert, Tawnya |
1710207642 | Sanchez, Chad | Gonzalez, Victor |
1851529333 | SANTAQUIN PHARMACY | Marchant, Kevin |
1811521339 | Schultz, Heidi | Marchant, Katie |
1770091241 | Schultz, Scott | Johnson, Antoinette |
SEASONS OF SANTAQUIN | Wells, Mikala | |
1619583580 | Serrato, Galia | Martinez, Jessica |
1235527698 | Sexton, Kayla | Pessetto, Nicolette |
1487996427 | Shackelford, Tyler | Alpough, Sheneaqua |
1205449402 | Sharifan, Jasmine | Agnivanshi, Kamlesh |
1730529421 | SHEPHERD, MITCHELL | Taylor, Kathy |
1720154883 | SHIELDS, KRISTEN | Pietsch, Celia |
1063979557 | Shumway, Kelsey | Shumway, Kelsey |
1659574804 | Siebertz, Brandi | Squire, Bridgett |
1639101116 | Sierra Vista Hospital Regional Medical Center | Larson, Christopher |
1730141334 | SIMMONS, ROBERT | Arnett, Cathy |
1245261783 | Sluss, James | AHERN, RAMONA |
1639348899 | SMITH, STACY | Smith, Stacy |
1881755817 | SMITH, TRAYSA | Fulmer, Cyndee |
1174064125 | SMITHS PHARMACY 271 | Bone, Victoria |
1356716534 | Solara Medical Supplies LLC | Hynes, Jaimee |
1104137108 | SOLI, KATIE | Paxman, Wendy |
1689242307 | Sondrup, Clifford | Spurgeon, Paul |
1407942725 | SORENSEN, JAMES | Sevy, Alisha |
1528286226 | Sorensen, Jerold | Sorensen, Jerold |
1215407598 | Sorenson, Anabelle | Bixler, Robert |
1770951030 | South Ogden Home | Lucero, Shannon |
1770573586 | South Texas Health System | Mann, Michelle |
1285688515 | SOUTHWEST BEHAVIORAL HLTH CNTR | Sawyer, Art |
1801342738 | Sparenborg, Morgan | Bunkall, Heather |
1801342738 | Sparenborg, Morgan | Harrison, Dianna |
1356369938 | SPENCER, STEVEN | Mitchell, Christy |
1306573993 | Spero ABA | Sanders, Sarah |
1033503420 | SPRING CREEK SURGICAL CENTER | Tingley, Ben |
1093713091 | ST FRANCIS COMM HOSP | McKinnon, Selena |
1356084107 | St. George Red Rocks Oral Surgery | Mack, Jared |
1003162058 | STACY R. SMITH MD.PC | Smith, Stacy |
1962599290 | STANDARD OPTICAL 3 | Greuber, Chelsea |
1578290573 | Stein, Kevin | Fairbanks, Melissa |
1043461940 | Stellini-Turner, Stephanie | Kenneth, Gwen |
1922235019 | STEPHENSON, PHILLIP | Bean, Julia |
1760800353 | Stephenson, Ryan | Prusse, Tim |
1992428536 | Stepping Stones Family Counseling | Kennedy, John |
1992090104 | STOKES, ALYSHA | Robinette, Trudi |
1922676915 | Stone, Amy | Braner, Krista |
1922676915 | Stone, Amy | Lorensen, Cassie |
1962961748 | Stonebridge Home Care South | Bishop, Jenna |
1962961748 | Stonebridge Home Care South | Van Leeuwen, Lynsey |
1500000009 | STONEHENGE OF CEDAR CITYUT INC | Fiduccia, Liz |
1699744367 | STORHEIM, JOHN | Bliss, Summer |
1639538788 | Stroshine, Scott | Galt, Casey |
1134502875 | SUN TREE HOME HEALTH LLC | Pinero, Ginger |
1134502875 | SUN TREE HOME HEALTH LLC | Sutton, Amanda |
1477281699 | Sustainable Healthcare | Mooney, Jennifer |
1396902482 | Sutton Counseling Services | Fisiipeau, Katy |
1922738947 | Swallow, John | Swan, Matthew |
1649732322 | Swanson, Kevin | Archuleta, Jennifer |
1053691238 | Swift, Travis | Hiner, Lorraine |
1184914772 | SYMBII HOME HEALTH | Bird, Shonda |
1275531139 | SYRACUSE CITY CORPORATION | Bennett, Michelle |
1124446216 | TANGARO, JOEL | Childress, Camber |
1396785341 | Tatton, James | Young, DeAnn |
1699146233 | TAYLOR, DYLAN | Anderson, Vanessa |
1407294614 | Teem Family Clinic | Teem, Lori |
1407438039 | Tellica Imaging, LLC West Valley | Beechy, Jake |
7000000092 | TEST IV CONTRACT PROVIDERS | Steve, Scuba |
The Grandkids LLC | Richardson, Caleb | |
1669738662 | THE HEALTH SPOT INC | Waldron, Amber |
The INN Between | Litz, Allison | |
1295113793 | THE WISDOM TEETH GUYS | Dunn, Carrie |
1174678320 | Tholstrom, Tad | Wollard, Amy |
1528412756 | Thomas, Megan | Thomas, Megan |
1952657934 | TIBBITTS FAMILY PHARMACY | Tibbitts, Brett |
1679929707 | Tkach, Christopher | Johnston, Michelle |
1588620819 | Tobias, Joseph | Bausch, Chelsea |
1033578141 | TOLLSTRUP, SARA | Abdulla, Kourtney |
1033578141 | TOLLSTRUP, SARA | Ravipati, Ram |
1033320791 | TOMCO, ABRAHAM | Cox, Vicki |
1144290479 | TOPHAM, ROBERT | Topham, Robyn |
1750099420 | Torres, Makinzi | Kalm, Jennifer |
1790317477 | Trek Counseling PLCC | Arteaga, Kaylem |
1265793657 | Tsai, Amy | AHERN, RAMONA |
1912194499 | Turning Point Centers | Draper, Kelley |
1508216581 | Twu, Jesse | Abdulla, Kourtney |
1508216581 | Twu, Jesse | Wessel, Brad |
1306883954 | UNIVERSITY OF UTAH HOME INFUSION PHARMACY | Hansen, Brittney |
1306883954 | UNIVERSITY OF UTAH HOME INFUSION PHARMACY | Slade, Jamie |
1578652160 | UNIVERSITY OF UTAH SOUTH JORDAN PHARMACY | Howell, Kellee |
1154773158 | Urban Indian Center of Salt Lake | Castro, Letitia |
1790425965 | Uriona, Sharon | Swearingen, Regan |
1376206755 | UT OMS Specialty Dental Services PLLC | Heyes, Danielle |
1689788762 | Utah Pain and Rehab inc | Marchese, Shery |
Utah Payee Services, LLC | Haslam, Michael | |
1154745693 | UTAH PRIDE CENTER | Fry, Jessica |
1689674301 | UTAH STATE DEVELOP CENTER | Peterson, Jennifer |
1649204553 | UTAH VALLEY ER PHYS INC | Hage, Kathleen |
1588863377 | VALLEY OBSTETRICS AND GYNECOLOGY - American Fork | Morrison, Dana |
1780182683 | ValleyFit Clinic LLC | Villalobos Vargas, Jocelyn |
1184144594 | Vawdrey, Heidi | Nye, Wendy |
1396943494 | VERNON, YOHANNA | Brenchley, Lindsay |
1770058265 | Victory EMS | Laurent, Christie |
1144650664 | VISKER, JAMES | Visker, James |
1194048918 | VRX PHARMACY AT CITY CREEK | Dawson, Cameron |
1922013960 | WALGREENS PHARMACY #07052 | Hess, Sally |
1134588296 | Walke, MICHELLE | Tapia, Erika |
1134588296 | Walke, MICHELLE | Western, Kelci |
1841669082 | Walker, Jodi | Walker, Jodi |
1164036265 | Wall, Raquel | Wall, Raquel |
1164036265 | Wall, Raquel | Wall, Raquel |
1841217031 | Walmart Pharmacy 10-3208 | Henry, Richard |
1528504800 | Walters, Kevin | George, Angela |
1326054412 | Ward, Mark | Ross, Jamie |
1679645139 | Wasatch Imaging LLC | DeJulis, Terri |
1972652311 | WEBER HUMAN SERVICES AW | Iizuka, Nobu |
1043243140 | WEBER HUMAN SERVICES1 | Calderon, Rosie |
1013431584 | WEBER, ZACHARY | Esnaola, Sara |
1871621920 | West Ridge | Champion, Zacc |
1851324826 | Westwood Physical Therapy Clinic | Hobusch, Frederick |
1679820401 | WHALEY-PRYOR, GIGI | Whaley-Pryor, Gigi |
1023770179 | Whatcott, Webb | Whatcott, Webb |
1780069401 | Whetten, Ivan | Johnson, Kelly |
1538760889 | Whiting, Matthew | Treatment, Alpha |
1275007338 | Wickersham, Michelle | Fuller, Randi |
1942736087 | Wigant, Jeanne | Black, Dianna |
1356095558 | Wilcox, Elizabeth | Griffiths, Tary |
1770515934 | WILDE, LARRY | Wilde, Larry |
1073738076 | wilkins, scott | Wilkins, Scott |
1124367032 | Williams, Kristin | Stallings, Saskia |
1447718887 | Williams, Nathalia | Wessel, Brad |
1184097537 | Williford, Melissa | Malone, Hannah |
1336740695 | Wimmer, Jodi | Guymon, Heather |
1568974434 | Wisdom Teeth Guys of Utah | Dunn, Carrie |
1144975053 | Wood, Jennifer | Wood, Jennifer |
1003539651 | Woodruff, Korrie | Fehrman, Jessie |
1760825582 | WRIGHT, ELIZABETH | Brinkerhoff, Amberly |
1376733196 | WRIGHT, KRISTEN | Steele, Arlana |
1407415714 | Yates, Bryce | Maxfield, Meriah |
1467831263 | Yeaman, Candice | Yeaman, Candice |
1528485570 | Zand, Sam | Hamm, Nakia |
When completing the user access request form, you will need to specify which profile(s) you want for PRISM. Use the following table to determine which profile(s) you need.
Function | Profile | Area |
Modify provider information, submit new enrollment, and disenrollment requests. | EXT Provider Credentialing Specialist | Provider Enrollment |
Add or modify EDI information including submission method, contact, and trading partner. User can submit changes to DOH. | EXT Provider EDI Team | Provider Enrollment |
View only access, cannot make modifications. | EXT Provider View Only | Provider Enrollment |
View, upload and submit files to DOH. | EXT Provider Upload Files | Provider Enrollment |
View HIPAA Response/Acknowledgements and upload HIPAA files. View TPN Information. | EXT EDI Analyst | Provider Enrollment |
Submit claims | Claims Submitter - Provider | Claims |
Inquire on claims, including pharmacy claims. | Claims Inqury - Provider | Claims |
Submit claims, inquire on claims including pharmacy claims, and adjust/void claims. | Claims Processor - Provider | Claims |
Create a PA or modify a PA that is not in a final status. | EXT PA Provider Access | Prior Authorization |
Create a PA or modify a PA that is not in a final status. Create an Admission Record for Nursing Facility and Hospice. | EXT Admission/PA Provider Access | Prior Authorization |
Member eligibility inquiry | EXT Member Provider Access | Member Eligibility |
Create TPL lead, View member TPL information | EXT TPL Provider Access | TPL |
Access EHR incentive information link and the eMIPP system to update/submit eligibility, appeals, audits and payment information. | Provider EHR Incentive Specialist | EHR |
Complete new provider enrollment or validate converted provider data. Approve any new users for the Provider’s domain. Management for the organization, including uploading scanned user agreements, assigning user profiles and managing/terminating user access. Profile does not have access to EHR Incentives. | EXT Provider Account Administrator | Security |