NPIMap

Individual provider Active NPI

Laura Stanton

  • Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1609469816
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11741554-4405 Issued in UT
Practice address
4460 S Highland Dr
Salt Lake City, UT 84124-3543
Phone
(888) 949-4864
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11741554-4405 UT Primary

Addresses

Primary practice location

4460 S Highland Dr
Salt Lake City, UT 84124-3543

Mailing address

4460 S Highland Dr
Salt Lake City, UT 84124-3543
Phone (888) 949-4864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220003204 UT Practitioner - Nurse Practitioner 6406290279 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MMG LLCGroup PAC ID 5991039489, 7 clinicians
Grab Healthcare LLCGroup PAC ID 8123439148, 12 clinicians
Ma Bo IncGroup PAC ID 1254399652, 5 clinicians

Practice addresses (Care Compare)

302 W 5400
Suite 200
Murray, UT 84107-8230
Phone (801) 456-2333

406 W S Jordan Pkwy
Suite 450
South Jordan, UT 84095-3946
Phone (801) 919-3008

466 E 500
Suite 200
Salt Lake City, UT 84111-3350
Phone (801) 485-5055

Hospital & facility affiliations

  • Canyon Home Care Home health agency, Murray, UT, CCN 467226
  • Health Watch Provo, Inc. Home health agency, Orem, UT, CCN 467106
  • Renew Home Health Home health agency, Murray, UT, CCN 467322
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grab Healthcare, LLC CurrentSince Sep 25, 2025 Accepting new patients
MMG LLC Nurse Practitioner CurrentSince Jan 7, 2024 Accepting new patients
MMG LLC Nurse Practitioner CurrentSince Jan 7, 2024 Accepting new patients
Ma Bo Inc CurrentSince Mar 4, 2026 Accepting new patients

Locations

302 W 5400 S
Ste 201
Salt Lake City, UT 84107
Phone (801) 456-2333

302 W 5400 S
Ste 200
Salt Lake City, UT 84107
Phone (385) 297-9500

746 E Winchester St
Ste 230B
Salt Lake City, UT 84107
Phone (801) 456-2333

466 E 500 S
Ste 200
Salt Lake Cty, UT 84111
Phone (801) 485-5055

406 W South Jordan Pkwy
Ste 450
South Jordan, UT 84095
Phone (801) 561-8398

Interoperability endpoints

  • Direct secure messaging: laura.stanton.1@28984.direct.athenahealth.com

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1609469816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 S HIGHLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243543",
            "telephone_number": "888-949-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 S HIGHLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243543",
            "telephone_number": "888-949-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "11741554-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.