Individual provider Active NPI

Sandra Lee Stoker, APRN

  • Acute Care Nurse Practitioner
  • Murray, UT
National Provider Identifier
1831691393
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
222204-4405 Issued in UT
Practice address
Intermountain Medical Center - Ricu
5121 S. Cottonwood St., BLDG. 5, Level 5
Murray, UT 84157
Phone
(801) 507-4766
NPI assigned
Mar 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 222204-3102 UT
Critical Care Medicine Nurse Practitioner 363LC0200X 222204-4405 UT
Acute Care Nurse Practitioner 363LA2100X 222204-4405 UT Primary

Addresses

Primary practice location

Intermountain Medical Center - Ricu
5121 S. Cottonwood St., BLDG. 5, Level 5
Murray, UT 84157

Mailing address

Intermountain Medical Center - Ricu
5121 S. Cottonwood St., BLDG. 5, Level 5
Murray, UT 84157
Phone (801) 507-4766

Other names 1

  • Sandra Lee Greco Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191105001898 UT Practitioner - Nurse Practitioner 8123350428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

5121 S Cottonwood St
Murray, UT 84107-5701

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Aug 26, 2019 Accepting new patients
Ihc Health Services Inc CurrentSince Apr 5, 2025 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Aug 26, 2019 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

Interoperability endpoints

  • Direct secure messaging: sandra.stoker.1@16299.direct.athenahealth.com

Organizations & group practices 5

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": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1831691393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INTERMOUNTAIN MEDICAL CENTER - RICU",
            "address_2": "5121 S. COTTONWOOD ST., BLDG. 5, LEVEL 5",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84157",
            "telephone_number": "801-507-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INTERMOUNTAIN MEDICAL CENTER - RICU",
            "address_2": "5121 S. COTTONWOOD ST., BLDG. 5, LEVEL 5",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84157",
            "telephone_number": "801-507-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKER",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "222204-3102",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "UT",
            "license": "222204-4405",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "222204-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "GRECO",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.