Individual provider Active NPI

Sean Rasmussen, FNP

  • Family Nurse Practitioner
  • Sandy, UT
National Provider Identifier
1629588934
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6837840-4405 Issued in UT
Practice address
10011 S Centennial Pkwy Ste 350
Sandy, UT 84070-4137
Phone
(801) 566-5350
NPI assigned
Oct 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 6837840-4405 UT Primary

Addresses

Primary practice location

10011 S Centennial Pkwy Ste 350
Sandy, UT 84070-4137

Mailing address

11272 S Rick Cir
South Jordan, UT 84095-4001
Phone (435) 890-0209

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
I20180628001684 UT Practitioner - Nurse Practitioner 1254687551 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Togo Healthcare LLC Single Specialty CurrentSince Dec 1, 2024 Accepting new patients

Locations

10011 S Centennial Pkwy
Ste 350
Sandy, UT 84070
Phone (801) 561-3922

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

Interoperability endpoints

  • Direct secure messaging: srasmussen@direct.meditouchehr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1629588934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11272 S RICK CIR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954001",
            "telephone_number": "435-890-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 S CENTENNIAL PKWY STE 350",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704137",
            "telephone_number": "801-566-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "SEAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6837840-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.