Individual provider Active NPI

Emily Maria Utech, NNP-BC

  • Critical Care Neonatal Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1568704286
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
UTE104376318 Issued in MN
Practice address
2525 Chicago Ave
Nicu
Minneapolis, MN 55404-4518
Phone
(612) 813-6295
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X UTE104376318 MN Primary

Addresses

Primary practice location

2525 Chicago Ave
Nicu
Minneapolis, MN 55404-4518

Mailing address

8928 Saint Croix Rd
Woodbury, MN 55125-3548
Phone (651) 307-5949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20150107000029 MN Practitioner - Nurse Practitioner 8628391281 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UTE104376318MNMDCritical Care Neonatal Nurse Practitioner
1486MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Aug 1, 2014 Accepting new patients
Healtheast Woodwinds Hospital CurrentSince May 1, 2020 Accepting new patients
Fairview Health Services CurrentSince May 1, 2020 Accepting new patients
Allina Health System Current Accepting new patients
Healtheast St. John'S Hospital CurrentSince May 1, 2020 Accepting new patients
Fairview Clinics Current Accepting new patients
St. Francis Regional Medical Center CurrentSince Feb 24, 2018 Accepting new patients
Fairview Express Care CurrentSince May 1, 2020 Accepting new patients
Fairview Clinics CurrentSince May 1, 2020 Accepting new patients
Fairview Health Services Current Accepting new patients
Allina Health System CurrentSince Aug 1, 2014 Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

2849 Johnson St NE
Minneapolis, MN 55418
Phone (612) 672-1900

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3300 Oakdale Ave N
Apt 180
Robbinsdale, MN 55422
Phone (763) 581-5140

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Organizations & group practices 12

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1568704286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8928 SAINT CROIX RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253548",
            "telephone_number": "651-307-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CHICAGO AVE",
            "address_2": "NICU",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044518",
            "telephone_number": "612-813-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTECH",
        "first_name": "EMILY",
        "middle_name": "MARIA",
        "credential": "NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "MN",
            "license": "UTE104376318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.