Active NPI
Mayra Estrada, RN, BSN
- Diabetes Educator Registered Nurse
- Murray, UT
National Provider Identifier
1013555705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 6306781-3102
- Practice address
- 181 E Medical Tower Dr FL 2
Murray, UT 84107-4872 - Phone
- (801) 314-4500
- Fax
- (801) 314-2909
- NPI assigned
- Dec 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 6306781-3102 | UT | Primary |
Addresses
Primary practice location
181 E Medical Tower Dr FL 2
Murray, UT 84107-4872
Mailing address
181 E Medical Tower Dr FL 2
Murray, UT 84107-4872
Phone (801) 314-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163WD0400X | Other | TAXONOMY CODE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mayra.estrada@imail.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6306781-3102 | UT | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1013555705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 E MEDICAL TOWER DR FL 2",
"city": "MURRAY",
"state": "UT",
"postal_code": "841074872",
"telephone_number": "801-314-4500",
"fax_number": "801-314-2909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 E MEDICAL TOWER DR FL 2",
"city": "MURRAY",
"state": "UT",
"postal_code": "841074872",
"telephone_number": "801-314-4500",
"fax_number": "801-314-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "MAYRA",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-13",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "UT",
"license": "6306781-3102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY CODE",
"identifier": "163WD0400X",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mayra.estrada@imail.org",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "secure email",
"address_1": "181 E Medical Tower Dr Fl 2",
"city": "Murray",
"state": "UT",
"country_code": "US",
"postal_code": "841074872",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.