Active NPI
Dawn Plaudis, BSN, RN
- School Registered Nurse
- South Salt Lake, UT
National Provider Identifier
1336885474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 10825002-3102
- Practice address
- 2500 S State St
South Salt Lake, UT 84115-3164 - Phone
- (385) 646-8891
- Fax
- (385) 646-4859
- NPI assigned
- May 11, 2022
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 10825002-3102 | UT | Primary |
Addresses
Primary practice location
2500 S State St
South Salt Lake, UT 84115-3164
Mailing address
5655 S Treebeard Rd
Taylorsville, UT 84129-3932
Phone (801) 916-8121
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10825002-3102 | UT | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1336885474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5655 S TREEBEARD RD",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841293932",
"telephone_number": "801-916-8121",
"fax_number": "385-646-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S STATE ST",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841153164",
"telephone_number": "385-646-8891",
"fax_number": "385-646-4859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAUDIS",
"first_name": "DAWN",
"credential": "BSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-11",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "UT",
"license": "10825002-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.