Active NPI
Wendell Todd Shrum, RN
- Critical Access Hospital
- Murray, UT
National Provider Identifier
1174932966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 6949270-3102
- Practice address
- 1360 E 5360 S
Murray, UT 84117-7361 - Phone
- (205) 305-6251
- NPI assigned
- Aug 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 6949270-3102 | UT | Primary |
Addresses
Primary practice location
1360 E 5360 S
Murray, UT 84117-7361
Mailing address
1360 E 5360 S
Murray, UT 84117-7361
Phone (205) 305-6251
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6949270-3102 | UT | MD | Critical Access Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407283200000",
"number": "1174932966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 E 5360 S",
"city": "MURRAY",
"state": "UT",
"postal_code": "841177361",
"telephone_number": "205-305-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 E 5360 S",
"city": "MURRAY",
"state": "UT",
"postal_code": "841177361",
"telephone_number": "205-305-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRUM",
"first_name": "WENDELL",
"middle_name": "TODD",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-06",
"last_updated": "2014-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "UT",
"license": "6949270-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.