Adult Care Clinic Inc

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

5660172-4405 Issued in UT

Legal business name

ADULT CARE CLINIC INC

Practice address

3920 S 1100 E Ste 250
Salt Lake City, UT 84124-1213

Phone

(801) 308-8400

Fax

(801) 349-2849

NPI assigned

Dec 23, 2014

Organization subpart

No

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

Authorized official

Name

Gitanjali Sharma, ACNPNPI 1497164180

Title

Owner

Phone

(801) 318-2624

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gitanjali Sharma, ACNP-BC

  • Acute Care Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1497164180
  Medicare reassignment Authorized official
• Rajiv R Sharma, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Salt Lake City, UT
  • NPI 1992990220
  NPD

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1487042537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 S 1100 E STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241213",
            "telephone_number": "801-308-8400",
            "fax_number": "801-349-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 S 1100 E STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241213",
            "telephone_number": "801-308-8400",
            "fax_number": "801-349-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT CARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "GITANJALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-318-2624",
        "authorized_official_credential": "ACNP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "5660172-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Salt Lake City, UT by specialty
• Acute Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.