Michelle Marie Cardon, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

49261714405 Issued in UT

Practice address

100 Mario Capecchi Dr
Suite 1500
Salt Lake City, UT 84112-8924

Phone

(801) 662-5515

Fax

(801) 662-5404

NPI assigned

Oct 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1861643280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARIO CAPECCHI DR",
            "address_2": "SUITE 1500",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841128924",
            "telephone_number": "801-662-5515",
            "fax_number": "801-662-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARIO CAPECCHI DR",
            "address_2": "SUITE 1500",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841128924",
            "telephone_number": "801-662-5515",
            "fax_number": "801-662-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDON",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "UT",
            "license": "49261714405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardinal Sleep LLC
• Cardiovascular Consultants of Utah PC
• Christina Weber Cardon, FNP
• Kevin Cardon, CNIM
• Madeline Cardon
• Amilcar Fabian Cardona, M.D.
• Carlo Salvador Cardozo Jimenez
• Carly Anne Cardwell
• Care 2 Care Services
• Care 4 You Ut LLC

• Pediatric Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pediatric Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.