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

Dylan Roy Richmond

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1073480745

Dylan Roy Richmond is a Nurse Practitioner in Sandy, Utah. Qualified in 2025, 1 year ago. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2025
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Practice location Address checks out

7984 S 1300 E
Sandy, UT 84094-0744
Phone: (916) 412-6333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11299468-4405 (UT)

Record details

NPI number1073480745
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 18, 2025
Mailing address7984 S 1300 E, Sandy, UT 84094-0744

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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