Individual provider Active NPI

Rita Florian Pingree, M.D.

  • General Practice Physician
  • Salt Lake City, UT
National Provider Identifier
1639430960
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10514919 Issued in UT
Practice address
350 S 200 E
400
Salt Lake City, UT 84111-2410
Phone
(801) 558-6563
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 10514919 UT Primary

Addresses

Primary practice location

350 S 200 E
400
Salt Lake City, UT 84111-2410

Mailing address

350 S 200 E
400
Salt Lake City, UT 84111-2410
Phone (801) 558-6563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10514919UTMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1639430960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S 200 E",
            "address_2": "400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112410",
            "telephone_number": "801-558-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S 200 E",
            "address_2": "400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112410",
            "telephone_number": "801-558-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINGREE",
        "first_name": "RITA",
        "middle_name": "FLORIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "10514919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.