NPIMap

Individual provider Active NPI

Sonja J Bates, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1699868950
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277543-4405 Issued in UT
Practice address
451 Bishop Federal LN
Salt Lake City, UT 84115-2357
Phone
(801) 487-7557
Fax
(801) 487-1112
NPI assigned
Oct 1, 2006
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277543-4405 UT Primary

Addresses

Primary practice location

451 Bishop Federal LN
Salt Lake City, UT 84115-2357

Mailing address

PO Box 17963
Salt Lake City, UT 84117-0963
Phone (801) 674-6376

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbates239058@direct.med.utah.edu Health Information Exchange (HIE) University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000899 UT Practitioner - Nurse Practitioner 1254350739 Reassigns benefits to 4 organizations
Practice locations: Salt Lake City, UT

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Successor Healthcare LLCGroup PAC ID 3375724826, 3 clinicians

Practice addresses (Care Compare)

451 E Bishop Federal LN
Salt Lake City, UT 84115-2357
Phone (801) 487-7557

501 S Chipeta Way
Salt Lake City, UT 84108-1222
Phone (801) 585-1575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.22 of 100Reported as group
Quality
83.74
Promoting interoperability
100
Improvement activities
40
Cost
66.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277543-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Pediatric Behavioral Health Services CurrentSince Feb 1, 2017 Accepting new patients
Successor Healthcare LLC CurrentSince Apr 11, 2017 Accepting new patients
Comprehensive Psychological Services Inc CurrentSince Jul 1, 2014 Accepting new patients
University of Utah Pediatric Behavioral Health Services CurrentSince Feb 1, 2017 Accepting new patients
University of Utah Behavioral Health Services CurrentSince Feb 1, 2017 Accepting new patients
University of Utah Pediatric Behavioral Health Services Current Accepting new patients
University of Utah Behavioral Health Services CurrentSince Feb 1, 2017 Accepting new patients
University of Utah Behavioral Health Services Current Accepting new patients
Advanced Behavioral Care, Inc. PastSince Nov 22, 1999 Accepting new patients

Locations

1208 E 3300 S
Millcreek, UT 84106
Phone (801) 450-1128

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

501 S Chipeta Way
Slc, UT 84108
Phone (801) 581-7951

451 E Bishop Federal Ln
South Salt Lake, UT 84115
Phone (801) 487-7557

Interoperability endpoints

  • Direct secure messaging: sbates239058@direct.med.utah.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1699868950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17963",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841170963",
            "telephone_number": "801-674-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 BISHOP FEDERAL LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152357",
            "telephone_number": "801-487-7557",
            "fax_number": "801-487-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "SONJA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-01",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "277543-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbates239058@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.