Shaw Akutsu, DNP-PMHNP STUDENT

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

12339024-3102 Issued in UT

Practice address

1875 S Redwood Rd
Salt Lake City, UT 84104-5112

Phone

(801) 355-2846

NPI assigned

May 19, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Volunteers of America

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1598192338
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1043901911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 E KENSINGTON AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 S REDWOOD RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841045112",
            "telephone_number": "801-355-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKUTSU",
        "first_name": "SHAW",
        "credential": "DNP-PMHNP STUDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-19",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "12339024-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Akers
• Kristin Knopf Akers, ACNP
• Samantha L Akimoto, CMHC
• Mehmet Akkaya, M.D
• Lauren Akkerman
• Mousa Abdulmajeed Al Abbas, MBBS
• Ahmed Al Ameri
• Badiya Al Dujaili
• Shaymaa Al Dujaili
• Sarah Al Mafraji

• Registered Nurse in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.