Active NPI
Shirley Madrigal, CPSS, FRF
- Peer Specialist
- Salt Lake City, UT
National Provider Identifier
1518422864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 1227
- Practice address
- 3471 S West Temple
Salt Lake City, UT 84115-4338 - Phone
- (801) 935-4447
- NPI assigned
- Jan 31, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 1227 | UT | Primary |
Addresses
Primary practice location
3471 S West Temple
Salt Lake City, UT 84115-4338
Mailing address
3471 S West Temple
Salt Lake City, UT 84115-4338
Phone (801) 935-4447
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 |
|---|---|---|---|
| 1227 | UT | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latino Behavioral Health Services | Peer Specialist | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19645/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Peer Specialist
- Salt Lake City, UT
- NPI 1063995538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1518422864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3471 S WEST TEMPLE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841154338",
"telephone_number": "801-935-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3471 S WEST TEMPLE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841154338",
"telephone_number": "801-935-4447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADRIGAL",
"first_name": "SHIRLEY",
"credential": "CPSS, FRF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-31",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "UT",
"license": "1227",
"primary": true
}
],
"identifiers": [],
"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 Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.