Individual provider Active NPI

Sheri Schlagel, DNP, AGNP-C

  • Gerontology Nurse Practitioner
  • Murray, UT
National Provider Identifier
1225437221
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
105926164405 Issued in UT
Practice address
434 W Ascension Way Ste 225
Murray, UT 84123-2985
Phone
(801) 716-7008
Fax
(888) 990-1557
NPI assigned
Aug 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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 H078686 IA
Gerontology Nurse Practitioner 363LG0600X 105926164405 UT Primary

Addresses

Primary practice location

434 W Ascension Way Ste 225
Murray, UT 84123-2985

Mailing address

434 W Ascension Way Ste 225
Murray, UT 84123-2985
Phone (801) 716-7008

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
I20181107000683 UT Practitioner - Nurse Practitioner 3577783182 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H078686IAMDNurse Practitioner
105926164405UTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Medical Associates, Inc Family Medicine CurrentSince Aug 20, 2018 Accepting new patients

Locations

434 W Ascension Way
Ste 225
Salt Lake City, UT 84123
Phone (801) 716-7008

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": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1225437221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 W ASCENSION WAY STE 225",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841232985",
            "telephone_number": "801-716-7008",
            "fax_number": "888-990-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 W ASCENSION WAY STE 225",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841232985",
            "telephone_number": "801-716-7008",
            "fax_number": "888-990-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAGEL",
        "first_name": "SHERI",
        "credential": "DNP, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H078686",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "UT",
            "license": "105926164405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.