Active NPI
Shrina Patel
- Student in an Organized Health Care Education/Training Program
- Murray, UT
National Provider Identifier
1134822844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 5169 S Cottonwood St Ste 303
Murray, UT 84107-6768 - Phone
- (801) 507-3747
- NPI assigned
- Mar 22, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
5169 S Cottonwood St Ste 303
Murray, UT 84107-6768
Mailing address
4467 N 196TH Ave
Litchfield Park, AZ 85340-5794
Phone (630) 923-9676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158016337 | Other | IL | MOLINA HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1134822844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4467 N 196TH AVE",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853405794",
"telephone_number": "630-923-9676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5169 S COTTONWOOD ST STE 303",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076768",
"telephone_number": "801-507-3747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHRINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTH",
"identifier": "158016337",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"address_1": "5169 S Cottonwood St Ste 303",
"city": "Murray",
"state": "UT",
"country_code": "US",
"postal_code": "841076768",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.