Active NPI
Nancy N Futrell, MD
- Vascular Neurology Physician
- Salt Lake City, UT
National Provider Identifier
1699791095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 1689321205
- Practice address
- 7930 S Majestic Ridge Dr
Salt Lake City, UT 84121-5789 - Phone
- (801) 946-1000
- Fax
- (801) 263-9141
- NPI assigned
- Jul 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35.067614 | OH | |
| Vascular Neurology Physician | 2084V0102X | 1689321205 | UT | Primary |
Addresses
Primary practice location
7930 S Majestic Ridge Dr
Salt Lake City, UT 84121-5789
Mailing address
7930 S Majestic Ridge Dr
Salt Lake City, UT 84121-5789
Phone (801) 263-0611
Other practice location 1
9110 College Pointe Ct
Fort Myers, FL 33919-3244
Phone (239) 560-4310
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30000004S2HVEAS | Other | UT | CMS EHR CERTIFICATION ID |
| 527645756006 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1689321205 | UT | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Stroke Center, Inc. | Vascular Neurology | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Vascular Neurology Physician
- Salt Lake City, UT
- NPI 1467463489
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1699791095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7930 S MAJESTIC RIDGE DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841215789",
"telephone_number": "801-263-0611",
"fax_number": "801-263-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7930 S MAJESTIC RIDGE DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841215789",
"telephone_number": "801-946-1000",
"fax_number": "801-263-9141"
}
],
"practiceLocations": [
{
"address_1": "9110 College Pointe Ct",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339193244",
"country_code": "US",
"telephone_number": "239-560-4310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUTRELL",
"first_name": "NANCY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35.067614",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "UT",
"license": "1689321205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS EHR CERTIFICATION ID",
"identifier": "30000004S2HVEAS",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "527645756006",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.