Active NPI
Marinda Elkins
- Licensed Practical Nurse
- Taylorsville, UT
National Provider Identifier
1710446174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 324700-3101
- Practice address
- 5983 S Redwood Rd
Taylorsville, UT 84123-5261 - Phone
- (801) 293-9999
- NPI assigned
- Mar 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 324700-3101 | UT | Primary |
Addresses
Primary practice location
5983 S Redwood Rd
Taylorsville, UT 84123-5261
Mailing address
170 S Pleasant Grove Blvd Apt 2207
Pleasant Grove, UT 84062-2493
Phone (801) 548-8494
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 324700-3101 | UT | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1710446174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 S PLEASANT GROVE BLVD APT 2207",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840622493",
"telephone_number": "801-548-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5983 S REDWOOD RD",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235261",
"telephone_number": "801-293-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKINS",
"first_name": "MARINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-15",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "UT",
"license": "324700-3101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.