Active NPI
Virginia Vierra, MD
- Pediatrics Physician
- Murray, UT
National Provider Identifier
1437181682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 51152961205
- Practice address
- 5063 Cottonwood St
Suite 160
Murray, UT 84107-6766 - Phone
- (801) 507-1850
- Fax
- (801) 507-1875
- NPI assigned
- Jul 7, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 51152961205 | UT | Primary |
Addresses
Primary practice location
5063 Cottonwood St
Suite 160
Murray, UT 84107-6766
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 965-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912097189 | Medicaid | UT |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51152961205 | UT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Past | Accepting new patients | |
| Granger Medical Specialists LLC | Past | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients | |
| Granger Medical Clinic PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- West Valley City, UT
- NPI 1184657041
Pediatrics
-
- Clinic/Center
- West Valley City, UT
- NPI 1376159368
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1437181682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-965-3600",
"fax_number": "801-965-3526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5063 COTTONWOOD ST",
"address_2": "SUITE 160",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076766",
"telephone_number": "801-507-1850",
"fax_number": "801-507-1875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIERRA",
"first_name": "VIRGINIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "51152961205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912097189",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.