Michael James Vanderplas Sr., RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

60895343102 Issued in UT

Practice address

166 E 5900 S Ste B102
Murray, UT 84107-7367

Phone

(801) 809-6290

Fax

(801) 871-0581

NPI assigned

Aug 21, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Michael James Vanderplas Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1053968370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3679 S 1900 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841063846",
            "telephone_number": "801-809-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E 5900 S STE B102",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077367",
            "telephone_number": "801-809-6290",
            "fax_number": "801-871-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPLAS",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Mrs.",
        "name_suffix": "Sr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "60895343102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "VANDERPLAS",
            "middle_name": "JAMES",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Registered Nurse in Murray, UT
• Providers in Murray, UT by specialty
• Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.