Active NPI
Angela Gerrard, AGACNP-BC
- Acute Care Nurse Practitioner
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 5663760-4405
- Practice address
- 2000 Circle of Hope
Clinic 2E: Farmington
Salt Lake City, UT 84112-5550 - Phone
- (801) 585-0100
- Fax
- (801) 587-9792
- NPI assigned
- Jul 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 5663760-4405 | UT | Primary |
Addresses
Primary practice location
2000 Circle of Hope
Clinic 2E: Farmington
Salt Lake City, UT 84112-5550
Mailing address
127 S 500 E Ste 600
Salt Lake City, UT 84102-1971
Phone (801) 587-6705
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
888 E 3900
Suite B
Salt Lake City, UT 84107-2151
Phone (801) 747-0330
Hospital & facility affiliations
- St Mark'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Quality Health Inc. | Past | Accepting new patients | |
| Peak Performance Chiropractic & Wellness, L.L.C | Past | Accepting new patients |
Locations
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100
127 S 500 E
Ste 600
Slc, UT 84102
2000 Circle of Hope Dr
#2E
Slc, UT 84112
Phone (801) 585-0100
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Holladay, UT
- NPI 1003296070
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Ophthalmology Physician
- Salt Lake City, UT
- NPI 1326442179
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Family Medicine Physician
- Layton, UT
- NPI 1578685228
-
- Home Health Agency
- Salt Lake City, UT
- NPI 1891010013
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1164469243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507507200000",
"number": "1770967200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 S 500 E STE 600",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021971",
"telephone_number": "801-587-6705",
"fax_number": "801-715-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CIRCLE OF HOPE",
"address_2": "CLINIC 2E: FARMINGTON",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841125550",
"telephone_number": "801-585-0100",
"fax_number": "801-587-9792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERRARD",
"first_name": "ANGELA",
"credential": "AGACNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2017-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "UT",
"license": "5663760-4405",
"primary": true
}
],
"identifiers": [],
"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 Oct 9, 2017; 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.