Individual provider Active NPI

Alissa Lai-Ming Firmage, APRN, NP-C

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1477833382
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7968617-4405 Issued in UT
Practice address
404 S 400 W
Salt Lake City, UT 84101-2201
Phone
(801) 364-0058
Fax
(801) 364-0161
NPI assigned
Aug 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7968617-4405 UT Primary

Addresses

Primary practice location

404 S 400 W
Salt Lake City, UT 84101-2201

Mailing address

404 S 400 W
Salt Lake City, UT 84101-2201
Phone (801) 364-0058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220316000177 UT Order and Referring Only - Nurse Practitioner 0143492322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7968617-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wasatch Homeless Health Care, Inc. Past Accepting new patients
Revere Health PC PastSince Jan 20, 1992 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1477833382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S 400 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012201",
            "telephone_number": "801-364-0058",
            "fax_number": "801-364-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S 400 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012201",
            "telephone_number": "801-364-0058",
            "fax_number": "801-364-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRMAGE",
        "first_name": "ALISSA",
        "middle_name": "LAI-MING",
        "name_prefix": "Mrs.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7968617-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.