Individual provider Active NPI

Elizabeth Drayna, BSRN, CDCES

  • Diabetes Educator Registered Nurse
  • Salt Lake City, UT
National Provider Identifier
1124755681
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
32200087 Issued in UT
Practice address
1140 E 3900 S Ste 390
Salt Lake City, UT 84124-1256
Phone
(801) 743-4700
Fax
(801) 743-4700
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 32200087 UT Primary

Addresses

Primary practice location

1140 E 3900 S Ste 390
Salt Lake City, UT 84124-1256

Mailing address

1380 E 8085 S
Sandy, UT 84093-6628
Phone (614) 599-2482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32200087UTMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Utah, PC Past Accepting new patients

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1124755681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 E 8085 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936628",
            "telephone_number": "614-599-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 E 3900 S STE 390",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241256",
            "telephone_number": "801-743-4700",
            "fax_number": "801-743-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAYNA",
        "first_name": "ELIZABETH",
        "credential": "BSRN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "UT",
            "license": "32200087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.