Denise Gitlin, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

200041-4405 Issued in UT

Practice address

1140 E 3900 S
Suite 340
Salt Lake City, UT 84124-1228

Phone

(801) 743-4730

Fax

(801) 743-4736

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• University of Utah Hospital Professional Services

  • Genetic Counselor (M.S.)
  • Salt Lake City, UT
  • NPI 1477507184
  NPD (past)
• University of Utah OB Care Now

  • Advanced Practice Midwife
  • Salt Lake City, UT
  • NPI 1104870807
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1487744082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 E 3900 S",
            "address_2": "SUITE 340",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241228",
            "telephone_number": "801-743-4730",
            "fax_number": "801-743-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 E 3900 S",
            "address_2": "SUITE 340",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241228",
            "telephone_number": "801-743-4730",
            "fax_number": "801-743-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITLIN",
        "first_name": "DENISE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "200041-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00474000",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053593921",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole M Girard, M.D
• Jasmine G Girgenti
• Daniel Girvan, LMT
• Roger Dale Gisseman, PH.D.
• Gita Rakhsha, PH.D. LLC
• Nicholas Gittins
• Robbie Rae Gittins
• Allison Givens
• Matthew B. Givens, MD
• Alexandra Givich

• All providers in Salt Lake City, UT
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.