Individual provider Active NPI

Renee Nilsson Scheidell, MD

  • Internal Medicine Physician
  • Draper, UT
National Provider Identifier
1861413742
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1883021205 Issued in UT
Practice address
12272 S 800 E
Suite 100
Draper, UT 84020-9789
Phone
(801) 523-1300
Fax
(801) 523-1301
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1883021205 UT Primary

Addresses

Primary practice location

12272 S 800 E
Suite 100
Draper, UT 84020-9789

Mailing address

12272 S 800 E
Suite 100
Draper, UT 84020-9789
Phone (801) 523-1300

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
1883021205UTMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1861413742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12272 S 800 E",
            "address_2": "SUITE 100",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209789",
            "telephone_number": "801-523-1300",
            "fax_number": "801-523-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12272 S 800 E",
            "address_2": "SUITE 100",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209789",
            "telephone_number": "801-523-1300",
            "fax_number": "801-523-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIDELL",
        "first_name": "RENEE",
        "middle_name": "NILSSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "1883021205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.