Misti Nicole Utt, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

76277 Issued in WV

Practice address

4414 Running Pine Dr
League City, TX 77573-4749

Phone

(304) 517-7009

NPI assigned

Nov 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1245700665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 RUNNING PINE DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734749",
            "telephone_number": "304-517-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 RUNNING PINE DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734749",
            "telephone_number": "304-517-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTT",
        "first_name": "MISTI",
        "middle_name": "NICOLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "WV",
            "license": "76277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Texas Medical Branch at Galveston
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• Pediatric Registered Nurse in League City, TX
• Providers in League City, TX by specialty
• Pediatric Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.