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

Shiloh C Manning, FNP

Individual provider Family Nurse Practitioner · NPI 1972536001

Shiloh C Manning, FNP is a Nurse Practitioner in Roy, Utah. Qualified in 2000, 26 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
26
Licensed in
ID, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

5640 S 3500 W
Roy, UT 84067-9158
Phone: (801) 773-2838
Fax: (801) 773-3025
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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 3434864405 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence N29783 (ID)

Record details

NPI number1972536001
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJuly 9, 2006
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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