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

Tara Rose Agee

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1366315541

Tara Rose Agee is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2025, 1 year ago. Practices with Mindful Mobile Medicine LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2025

Practice location Address checks out

500 Foothill Blvd
Salt Lake City, UT 84148-0002
Phone: (801) 582-1565
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0000000 (UT)

Record details

NPI number1366315541
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing address500 Foothill Blvd, Salt Lake City, UT 84148-0002

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)
Group practice Mindful Mobile Medicine Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Salt Lake City