Individual provider Active NPI

Maria Trinidad Sulbaran, R.D.M.S

  • Sonography Radiologic Technologist
  • Herriman, UT
National Provider Identifier
1316817901
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
307170 Issued in UT
Practice address
5423 W Mount Conness PL
Herriman, UT 84096-1412
Phone
(801) 403-1646
NPI assigned
Nov 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 307170 UT Primary

Addresses

Primary practice location

5423 W Mount Conness PL
Herriman, UT 84096-1412

Mailing address

5423 W Mount Conness PL
Herriman, UT 84096-1412
Phone (801) 403-1646

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

LicenseStateTypeSpecialty
307170UTMDSonography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1762560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1316817901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5423 W MOUNT CONNESS PL",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840961412",
            "telephone_number": "801-403-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5423 W MOUNT CONNESS PL",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840961412",
            "telephone_number": "801-403-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULBARAN",
        "first_name": "MARIA",
        "middle_name": "TRINIDAD",
        "credential": "R.D.M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-08",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "UT",
            "license": "307170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herriman, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; 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.