Healthcare Provider Details

I. General information

NPI: 1710871892
Provider Name (Legal Business Name): ERIN CHECKETTS DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN MEREDITH DNP

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N MEDICAL DR
SALT LAKE CITY UT
84132-0001
US

IV. Provider business mailing address

6954 W RESTLESS RD
SOUTH JORDAN UT
84009-1747
US

V. Phone/Fax

Practice location:
  • Phone: 801-581-2121
  • Fax:
Mailing address:
  • Phone: 208-899-3441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number12957099-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number12957099-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: