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

Elisa Velda Warren

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1699357863

Elisa Velda Warren is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2021, 5 years ago. Practices with Mountainstar Behavioral Health LLC, a 13-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2021
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Practice location Address checks out

1200 E 3900 S
Salt Lake City, UT 84124-1300
Phone: (801) 268-7111
Fax: (801) 268-7430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 150 S 400 E, American Fork, UT 84003-2510 — (801) 984-1717
  • 613 E Fort Union Blvd Ste 104, Midvale, UT 84047-5531 — (801) 984-1717
  • 8153 S 4800 W, West Jordan, UT 84088-4703 — (801) 984-1717

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 9420325-4405 (UT)

Record details

NPI number1699357863
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2021
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mountainstar Behavioral Health Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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