Active NPI
Edie L Sims, LMT
- Specialist
- South Salt Lake, UT
National Provider Identifier
1497037006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3806054701
- Practice address
- 457 E 3300 S
South Salt Lake, UT 84115-4112 - Phone
- (801) 597-3019
- NPI assigned
- Sep 9, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 3806054701 | UT | Primary |
Addresses
Primary practice location
457 E 3300 S
South Salt Lake, UT 84115-4112
Mailing address
1174 W 1850 S
Woods Cross, UT 84087-2322
Phone (801) 597-3019
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3806054701 | UT | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1497037006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1174 W 1850 S",
"city": "WOODS CROSS",
"state": "UT",
"postal_code": "840872322",
"telephone_number": "801-597-3019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 E 3300 S",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841154112",
"telephone_number": "801-597-3019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "EDIE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "UT",
"license": "3806054701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.