Active NPI
Ann Maruri, DNP, CPNP
- Pediatric Nurse Practitioner
- Clinton, UT
National Provider Identifier
1477673291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1477673291
- Practice address
- 1477 N 2000 W
Suite C
Clinton, UT 84015-8638 - Phone
- (801) 774-8888
- Fax
- (801) 825-8519
- NPI assigned
- Mar 29, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1477673291 | UT | Primary |
Addresses
Primary practice location
1477 N 2000 W
Suite C
Clinton, UT 84015-8638
Mailing address
1477 N 2000 W
Suite C
Clinton, UT 84015-8638
Phone (801) 774-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477673291 | 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
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1477673291 | UT | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1477673291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1477 N 2000 W",
"address_2": "SUITE C",
"city": "CLINTON",
"state": "UT",
"postal_code": "840158638",
"telephone_number": "801-774-8888",
"fax_number": "801-825-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1477 N 2000 W",
"address_2": "SUITE C",
"city": "CLINTON",
"state": "UT",
"postal_code": "840158638",
"telephone_number": "801-774-8888",
"fax_number": "801-825-8519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARURI",
"first_name": "ANN",
"name_prefix": "Dr.",
"credential": "DNP, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "UT",
"license": "1477673291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477673291",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.