Active NPI
Makayla Nelson
- Plastic Surgery Physician
- South Jordan, UT
National Provider Identifier
1285195743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 9848763-1109
- Practice address
- 5126 W Daybreak Pkwy
South Jordan, UT 84009-5994 - Phone
- (801) 213-5200
- NPI assigned
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 9848763-1109 | UT | Primary |
Addresses
Primary practice location
5126 W Daybreak Pkwy
South Jordan, UT 84009-5994
Mailing address
638 W 7250 S
Midvale, UT 84047-1060
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | makayla.nelson@hsc.utah.edu | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9848763-1109 | UT | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1285195743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 W 7250 S",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5126 W DAYBREAK PKWY",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840095994",
"telephone_number": "801-213-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "MAKAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "UT",
"license": "9848763-1109",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "makayla.nelson@hsc.utah.edu",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct email",
"address_1": "5126 W Daybreak Pkwy",
"city": "South Jordan",
"state": "UT",
"country_code": "US",
"postal_code": "840095994",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.