Individual provider Active NPI

Nancy N Futrell, MD

  • Vascular Neurology Physician
  • Salt Lake City, UT
National Provider Identifier
1699791095
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
1689321205 Issued in UT
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

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30000004S2HVEASOtherUTCMS EHR CERTIFICATION ID
527645756006MedicaidUT

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

LicenseStateTypeSpecialty
1689321205UTMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Stroke Center, Inc. Vascular Neurology PastSince Oct 23, 1997 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.

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.

Verify at the official NPI Registry.