Active NPI
Sean Rasmussen, FNP
- Family Nurse Practitioner
- Sandy, UT
National Provider Identifier
1629588934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6837840-4405
- 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
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Togo Healthcare LLC | Single Specialty | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.