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

Heather B Allred, PA-C

Individual provider Physician Assistant · NPI 1104859149

Heather B Allred, PA-C is a Physician Assistant in Providence, Utah. Graduated from University of Utah School of Medicine in 2003, 23 years ago. Practices with LP Derm LLC, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
23
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

517 W 100 N Ste 103
Providence, UT 84332-9824
Phone: (435) 554-8442
Fax: (435) 500-9167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1325 W South Jordan Pkwy Ste 103, South Jordan, UT 84095-9060 — (801) 390-4536
  • 711 Onyx St, Kemmerer, WY 83101-3214 — (307) 877-4401

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5536681-1206 (UT)

Record details

NPI number1104859149
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 9, 2006
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Lp Derm Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Providence