Healthcare Provider Details

I. General information

NPI: 1922896182
Provider Name (Legal Business Name): HEATHER GAYLE RIMINGTON APRN-PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

498 N KAYS DR STE 200
KAYSVILLE UT
84037-4153
US

IV. Provider business mailing address

1139 W 2700 S
SYRACUSE UT
84075-9141
US

V. Phone/Fax

Practice location:
  • Phone: 385-382-1555
  • Fax:
Mailing address:
  • Phone: 801-870-8157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10376758-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: