Individual provider Active NPI

Erica Dawn Avidano, NP

  • Women's Health Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1487991881
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
12048551-4405 Issued in UT
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

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03530898MedicaidNY

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

LicenseStateTypeSpecialty
421109NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: erica.avidano.p1@direct.ppau.nextgenshare.com
  • FHIR API: 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.

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.

Verify at the official NPI Registry.