Active NPI
Carrie L Sloan, M.D.LLC
- Specialist
- Draper, UT
National Provider Identifier
1124034012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5666633-1205
- Practice address
- 96 E Kimballs LN Ste 202
Draper, UT 84020-5021 - Phone
- (801) 523-3053
- Fax
- (801) 523-3059
- NPI assigned
- Jul 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5666633-1205 | UT | Primary |
Addresses
Primary practice location
96 E Kimballs LN Ste 202
Draper, UT 84020-5021
Mailing address
PO Box 198546
Atlanta, GA 30384-8546
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | csloan5535@epicmtn.hcadirect.net |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050319000025 | UT | Practitioner - Obstetrics/Gynecology | 5597710913 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- New York Medical College, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Mark'S Gynecology Oncology Care LLC
Practice addresses (Care Compare)
1140 E 3900
Suite 400
Salt Lake City, UT 84124-1269
Phone (801) 268-6811
96 E Kimballs LN
Suite 202
Draper, UT 84020-5021
Phone (801) 523-3053
Hospital & facility affiliations
- Lone Peak Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5666633-1205 | UT | MD | Specialist |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB/GYN Associates. L.C. | Specialist | Past | Accepting new patients |
Networks
- UT PPO D-SNP
- UT PPO
Organizations & group practices 2
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.
-
- Gynecologic Oncology Physician
- Salt Lake City, UT
- NPI 1053593921
UT
-
- Specialist
- Salt Lake City, UT
- NPI 1962417840
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1124034012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198546",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 E KIMBALLS LN STE 202",
"city": "DRAPER",
"state": "UT",
"postal_code": "840205021",
"telephone_number": "801-523-3053",
"fax_number": "801-523-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN",
"first_name": "CARRIE",
"middle_name": "L",
"credential": "M.D.LLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2022-01-28",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "UT",
"license": "5666633-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "csloan5535@epicmtn.hcadirect.net",
"affiliation": "N",
"address_1": "96 E Kimballs Ln Ste 202",
"city": "Draper",
"state": "UT",
"country_code": "US",
"postal_code": "840205021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.