Active NPI
Erica Dawn Avidano, NP
- Women's Health Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1487991881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 12048551-4405
- Practice address
- 654 S 900 E
Salt Lake City, UT 84102-3430 - Phone
- (801) 322-5571
- Fax
- (801) 322-0065
- NPI assigned
- Jan 7, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 421109 | NY | |
| Women's Health Nurse Practitioner | 363LW0102X | 12048551-4405 | UT | Primary |
Addresses
Primary practice location
654 S 900 E
Salt Lake City, UT 84102-3430
Mailing address
654 S 900 E
Salt Lake City, UT 84102-3430
Phone (801) 322-5571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03530898 | Medicaid | NY |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 421109 | NY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of the Southern Finger Lakes Inc. | Past | Accepting new patients | |
| Planned Parenthood Association of Utah | Past | Accepting new patients | |
| Planned Parenthood Association of Utah | Past | Accepting new patients | |
| Planned Parenthood Association of Utah | Past | Accepting new patients | |
| Planned Parenthood Association of Utah | Past | Accepting new patients |
Interoperability endpoints
- erica.avidano.p1@direct.ppau.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Voluntary or Charitable Agency
- Salt Lake City, UT
- NPI 1073549614
-
dba Planned Parenthood Metro
- Clinic Pharmacy
- Salt Lake City, UT
- NPI 1801387626
-
dba Planned Parenthood West Valley
- Clinic Pharmacy
- West Valley City, UT
- NPI 1881010874
-
dba Planned Parenthood Utah Valley
- Clinic Pharmacy
- Orem, UT
- NPI 1902397847
-
- Ambulatory Family Planning Facility
- Ithaca, NY
- NPI 1881761484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1487991881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 S 900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841023430",
"telephone_number": "801-322-5571",
"fax_number": "801-322-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 S 900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841023430",
"telephone_number": "801-322-5571",
"fax_number": "801-322-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVIDANO",
"first_name": "ERICA",
"middle_name": "DAWN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-07",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "421109",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "UT",
"license": "12048551-4405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03530898",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.