Individual provider Active NPI

Edwin O Awinda, APRN

  • Gerontology Nurse Practitioner
  • Murray, UT
National Provider Identifier
1194216895
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
7321629-8900 Issued in UT
Practice address
5450 S Green St Ste a
Murray, UT 84123-5632
Phone
(801) 486-4877
NPI assigned
May 29, 2018
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7321629-4405 UT
Gerontology Nurse Practitioner 363LG0600X 7321629-8900 UT Primary

Addresses

Primary practice location

5450 S Green St Ste a
Murray, UT 84123-5632

Mailing address

120 W 1300 S
Salt Lake City, UT 84115-5230
Phone (801) 486-4877

Other practice location 1

4035 S 500 E
Salt Lake City, UT 84107-1866
Phone (801) 262-9181

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
I20180614002020 UT Practitioner - Nurse Practitioner 3375898349 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7321629-8900UTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Regional Hospitalists LLC CurrentSince May 30, 2018 Accepting new patients
Savannah Health Group LLC Nurse Practitioner CurrentSince Jun 1, 2018 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince May 30, 2018 Accepting new patients
Urban Indian Center of Salt Lake PastSince Dec 28, 2025 Accepting new patients
Urban Indian Center of Salt Lake Past Accepting new patients

Locations

4035 S 500 E
Salt Lake Cty, UT 84107
Phone (801) 262-9181

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1194216895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 1300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841155230",
            "telephone_number": "801-486-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 S GREEN ST STE A",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235632",
            "telephone_number": "801-486-4877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4035 S 500 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841071866",
            "country_code": "US",
            "telephone_number": "801-262-9181",
            "fax_number": "813-336-8463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWINDA",
        "first_name": "EDWIN",
        "middle_name": "O",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "7321629-4405",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "UT",
            "license": "7321629-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.