Individual provider Active NPI

Vickie D Sorensen, LDEM CPM

  • Midwife
  • Cedar City, UT
National Provider Identifier
1366680761
Registry record updated Feb 4, 2014
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(2) exclusion effective Jan 20, 2019.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
8858598-3400 Issued in UT
Practice address
1800 W Royal Hunte Dr
Cedar City, UT 84720-1800
Phone
(435) 586-4854
Fax
(435) 865-1629
NPI assigned
Jan 23, 2009
Last updated
Feb 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X
Midwife 176B00000X 8858598-3400 UT Primary
Lactation Consultant (Non-RN) 174N00000X

Addresses

Primary practice location

1800 W Royal Hunte Dr
Cedar City, UT 84720-1800

Mailing address

1800 W Royal Hunte Dr
Cedar City, UT 84720-1800
Phone (435) 586-4854

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
8858598-3400UTMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway to Wellness Birthing Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1366680761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W ROYAL HUNTE DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847201800",
            "telephone_number": "435-586-4854",
            "fax_number": "435-865-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W ROYAL HUNTE DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847201800",
            "telephone_number": "435-586-4854",
            "fax_number": "435-865-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "VICKIE",
        "middle_name": "D",
        "credential": "LDEM CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "UT",
            "license": "8858598-3400",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.