Active NPI
Nicole Porter Harlan, MD
- Critical Care Medicine (Internal Medicine) Physician
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 9048517-1205
- Practice address
- 5121 S Cottonwood St
Murray, UT 84107 - Phone
- (801) 507-6415
- NPI assigned
- May 25, 2011
- Last updated
- Dec 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 9048517-1205 | UT | Primary |
| Pulmonary Disease Physician | 207RP1001X | 20012 | NH | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 9048517-1205 | UT |
Addresses
Primary practice location
5121 S Cottonwood St
Murray, UT 84107
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
1 Medical Center Dr
Lebanon, NH 03756
Phone (603) 650-5533
Other practice location 2
247 MacNider, CB# 7593
UNC School of Medicine
Chapel Hill, NC 27514
Phone (919) 966-6669
Other practice location 3
5121 S Cottonwood St
Murray, UT 84107
Phone (801) 507-7000
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
5121 S Cottonwood St
Murray, UT 84107-5701
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9048517-1205 | UT | MD | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
Interoperability endpoints
- nharlan379437@direct.dartmouth-hitchcock.org
- nicole.harlan.1@16299.direct.athenahealth.com
- nicole.harlan.1@17373.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Behavioral Health Access - MKDH
- Psychiatry Physician
- Ogden, UT
- NPI 1154888907
-
dba Valley View Physicians Billing
- Multi-Specialty Clinic/Center
- Cedar City, UT
- NPI 1659685980
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Intermountain Medical Center
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1679866560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5121 S COTTONWOOD ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-507-6415"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "03756",
"country_code": "US",
"telephone_number": "603-650-5533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "247 MacNider, CB# 7593",
"address_2": "UNC School of Medicine",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "27514",
"country_code": "US",
"telephone_number": "919-966-6669",
"fax_number": "919-966-7490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5121 S Cottonwood St",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "UT",
"postal_code": "84107",
"country_code": "US",
"telephone_number": "801-507-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARLAN",
"first_name": "NICOLE",
"middle_name": "PORTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-25",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "UT",
"license": "9048517-1205",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NH",
"license": "20012",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "UT",
"license": "9048517-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.