Individual provider Active NPI

Marinda Dawn Paskett, NP

  • Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1073783247
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
333866-4405 Issued in UT
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

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081001000751 UT Practitioner - Nurse Practitioner 9638247802 Reassigns benefits to 1 organization

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
Jahan Imani MD PCGroup PAC ID 4284616509, 3 clinicians

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

LicenseStateTypeSpecialty
333866-4405UTMDMedical-Surgical Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Jahan Imani MD PC CurrentSince Mar 14, 2016 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.

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

Verify at the official NPI Registry.