Active NPI
Michael Rasmussen
- Nurse Practitioner
- Garland, UT
National Provider Identifier
1487056339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 729798-4405
- Practice address
- 300 W 1400 S
Garland, UT 84312-9100 - Phone
- (435) 257-3684
- Fax
- (435) 257-7554
- NPI assigned
- Sep 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 729798-4405 | UT | Primary |
Addresses
Primary practice location
300 W 1400 S
Garland, UT 84312-9100
Mailing address
300 W 1400 S
Garland, UT 84312-9100
Phone (801) 360-3662
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 W 1400
Garland, UT 84312-9100
Phone (435) 257-3684
Hospital & facility affiliations
- Nell J Redfield Memorial Hospital
- Bear River Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 729798-4405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas C. Walker D.O., P.C. | Single Specialty | Current | Accepting new patients |
| Bear River Medical Arts PC | Single Specialty | Current | Accepting new patients |
Locations
300 W 1400 S
Garland, UT 84312
Phone (435) 257-2469
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tremonton, UT
- NPI 1679582944
-
- Critical Access Hospital
- Malad, ID
- NPI 1609826270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1487056339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W 1400 S",
"city": "GARLAND",
"state": "UT",
"postal_code": "843129100",
"telephone_number": "801-360-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W 1400 S",
"city": "GARLAND",
"state": "UT",
"postal_code": "843129100",
"telephone_number": "435-257-3684",
"fax_number": "435-257-7554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-23",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "729798-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garland, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.