Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shalise Hali Owens

Individual provider Family Nurse Practitioner · NPI 1821583519

Dr. Shalise Hali Owens is a Nurse Practitioner in Bountiful, Utah. Graduated from University of Utah School of Medicine in 2018, 8 years ago. Practices with Rocky Mountain Dermatology Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2018
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Practice location Address checks out

320 W 500 S Ste 210
Bountiful, UT 84010-7254
Phone: (801) 797-9121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 8642517-4405 (UT)

Record details

NPI number1821583519
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2018
Last updated in NPPESJune 26, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Rocky Mountain Dermatology Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bountiful