Individual provider Active NPI

Laura Helm, PA-C

  • Medical Physician Assistant
  • Salt Lake City, UT
National Provider Identifier
1104003656
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
276372-1206 Issued in UT
Practice address
4460 Highland Dr Ste 400
Salt Lake City, UT 84124-3565
Phone
(801) 272-4111
Fax
(801) 272-5989
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 276372-1206 UT Primary

Addresses

Primary practice location

4460 Highland Dr Ste 400
Salt Lake City, UT 84124-3565

Mailing address

4460 Highland Dr Ste 400
Salt Lake City, UT 84124-3565
Phone (801) 272-4111

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
I20090303000108 UT Practitioner - Physician Assistant 7618033481 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
276372-1206UTMDMedical Physician Assistant

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1104003656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 HIGHLAND DR STE 400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243565",
            "telephone_number": "801-272-4111",
            "fax_number": "801-272-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 HIGHLAND DR STE 400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243565",
            "telephone_number": "801-272-4111",
            "fax_number": "801-272-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELM",
        "first_name": "LAURA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "276372-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.