Active NPI
Insulet Corporation
- Durable Medical Equipment & Medical Supplies
- Salt Lake City, UT
National Provider Identifier
1205311453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- INSULET CORPORATION
- Practice address
- 155 N 400 W Ste 300
Salt Lake City, UT 84103-1132 - Phone
- (801) 990-2802
- NPI assigned
- Oct 3, 2018
- Organization subpart
- Yes
- Parent organization
- INSULET CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shacey Petrovic
- Title
- President & Ceo
- Phone
- (978) 600-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
155 N 400 W Ste 300
Salt Lake City, UT 84103-1132
Mailing address
100 Nagog Park
Acton, MA 01720-3428
Phone (978) 600-7000
National Provider Directory
National Provider Directory- Part of
- Insulet Corporation
Locations
600 Technology Park Dr
Ste 200
Billerica, MA 01821
155 N 400 W
Ste 300
Salt Lake City, UT 84103
Phone (801) 990-2802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579046400000",
"number": "1205311453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NAGOG PARK",
"city": "ACTON",
"state": "MA",
"postal_code": "017203428",
"telephone_number": "978-600-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N 400 W STE 300",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841031132",
"telephone_number": "801-990-2802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSULET CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INSULET CORPORATION",
"enumeration_date": "2018-10-03",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A",
"authorized_official_last_name": "PETROVIC",
"authorized_official_first_name": "SHACEY",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "978-600-7000"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
- Katie Kirk Inouye, OTR/L
- Inquiry Counseling LLC
- Insight Counseling Centers Inc.
- Whitney Inskeep
- Institute of Change Inc
- Integrated Functional Medicine
- Integrated Functional Medicine, LLC (Integrated Pain Specialists)
- Integrated Health Counseling, LLC
- Integrated Pain Specialists of Salt Lake City (Integrated Pain Specialists)
- Integrated Primary Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.