Individual provider Active NPI

Cuicui Zhang, APRN

  • Addiction Medicine (Family Medicine) Physician
  • Sandy, UT
National Provider Identifier
1518516210
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
7716092-4405 Issued in UT
Practice address
8686 S 1300 E # L102L104
Sandy, UT 84094-1947
Phone
(801) 997-0368
Fax
(801) 382-7898
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 7716092-4405 UT Primary
Family Nurse Practitioner 363LF0000X 7716092-4405 UT

Addresses

Primary practice location

8686 S 1300 E # L102L104
Sandy, UT 84094-1947

Mailing address

8686 S 1300 E # L102L104
Sandy, UT 84094-1947
Phone (801) 997-0368

Other identifiers 1

IdentifierTypeStateIssuer
3014893MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL insightfamilypractice@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200120000820 UT Practitioner - Nurse Practitioner 9638504756 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8686 S 1300
Sandy, UT 84094-1947
Phone (801) 997-0368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7716092-4405UTMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Family Practice LLC Family CurrentSince Nov 1, 2019 Accepting new patients
Ming-Wei Wu, Inc CurrentSince Mar 7, 2020 Accepting new patients

Locations

1845 W 4400 S
Ste A
Roy, UT 84067

8686 S 1300 E
Ste L102
Sandy, UT 84094

8686 S 1300 E
Ste L102104
Sandy, UT 84094

8686 S 1300 E
Sandy, UT 84094
Phone (801) 709-0748

8686 S 1300 E
#L102L104
Sandy, UT 84094
Phone (801) 997-0368

Organizations & group practices 3

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": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1518516210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8686 S 1300 E # L102L104",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840941947",
            "telephone_number": "801-997-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8686 S 1300 E # L102L104",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840941947",
            "telephone_number": "801-997-0368",
            "fax_number": "801-382-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "CUICUI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "UT",
            "license": "7716092-4405",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7716092-4405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3014893",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "insightfamilypractice@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8686 S 1300 E # L102L104",
            "city": "Sandy",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840941947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.