Active NPI
Marinda Dawn Paskett, NP
- Nurse Practitioner
- Ogden, UT
National Provider Identifier
1073783247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 333866-4405
- Practice address
- 5315 S Adams Pkwy
Ogden, UT 84405 - Phone
- (801) 476-4448
- Fax
- (801) 476-4449
- NPI assigned
- Mar 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 333866-4405 | UT | Primary |
| Medical-Surgical Clinical Nurse Specialist | 364SM0705X | 333866-4405 | UT |
Addresses
Primary practice location
5315 S Adams Pkwy
Ogden, UT 84405
Mailing address
5315 S Adams Pkwy
Ogden, UT 84405
Phone (801) 476-4448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5315 Adams Ave Pkwy
Suite a
Washington Terrace, UT 84405-4772
Phone (801) 475-7707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333866-4405 | UT | MD | Medical-Surgical Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jahan Imani MD PC | Current | Accepting new patients |
Locations
5315 S 500 E
Ste A
Washington Tr, UT 84405
Phone (801) 475-7707
Organizations & group practices 1
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.
-
- Specialist
- Washington Terrace, UT
- NPI 1366560484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1073783247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5315 S ADAMS PKWY",
"city": "OGDEN",
"state": "UT",
"postal_code": "84405",
"telephone_number": "801-476-4448",
"fax_number": "801-476-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5315 S ADAMS PKWY",
"city": "OGDEN",
"state": "UT",
"postal_code": "84405",
"telephone_number": "801-476-4448",
"fax_number": "801-476-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASKETT",
"first_name": "MARINDA",
"middle_name": "DAWN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-04",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "333866-4405",
"primary": true
},
{
"code": "364SM0705X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Medical-Surgical",
"state": "UT",
"license": "333866-4405",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.