Marimar Otero-Rojas, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9643798-4405 Issued in UT

Practice address

500 Foothill Dr
Salt Lake City, UT 84148-0001

Phone

(801) 582-1565

NPI assigned

Jul 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Utah Pain and Rehab LLCGroup PAC ID 4284140088, 5 clinicians

Advanced Spine Pain SpecialistsGroup PAC ID 7911039672, 8 clinicians

Interventional Spine and Pain ManagementGroup PAC ID 6204065162, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HDBECA

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.

• Advanced Spine Pain Specialists

  • Pain Medicine Physician
  • Providence, UT
  • NPI 1285958439
  Medicare reassignment Care Compare group NPD
• Interventional Spine & Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Murray, UT
  • NPI 1609204338
  Medicare reassignment Care Compare group NPD
• Utah Pain & Rehab LLC

  • Nurse Practitioner
  • Ogden, UT
  • NPI 1689788762
  Medicare reassignment Care Compare group
• Interventional Spine & Pain Management

  • Pain Medicine Physician
  • Ogden, UT
  • NPI 1992342414
  NPD
• Kidney & Hypertension Institute of Northern Utah LLC

  • Nephrology Physician
  • Layton, UT
  • NPI 1366713471
  NPD (past)

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1699347732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 S 800 W",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844052803",
            "telephone_number": "801-644-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FOOTHILL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001",
            "telephone_number": "801-582-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO-ROJAS",
        "first_name": "MARIMAR",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "9643798-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Oswald
• Julie L Oswald
• Kyle Oswald, LCSW-C
• Teresa Ota
• Shannalee Otanez, LCSW
• Genesis Othon
• Diana Otoya, MD
• Otr Therapeutic Services, PLLC
• James Kevin Ott, LCSW
• John Jeffrey Ott, AUD

• Adult Health Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Adult Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.

Verify at the official NPI Registry.