Individual provider Active NPI

Mark Aaron Aldridge, FNP

  • Urgent Care Clinic/Center
  • Sandy, UT
National Provider Identifier
1902178650
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
9124468-4405 Issued in UT
Practice address
385 W 9000 S
Sandy, UT 84070-2551
Phone
(801) 562-5200
NPI assigned
Jan 27, 2012
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 9124468-4405 UT Primary

Addresses

Primary practice location

385 W 9000 S
Sandy, UT 84070-2551

Mailing address

385 W 9000 S
Sandy, UT 84070-2551
Phone (801) 562-5200

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
I20170213001353 UT Practitioner - Nurse Practitioner 0840455168 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9124468-4405UTMDUrgent Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA Urgent Care CurrentSince Jan 28, 2017 Accepting new patients
American Current Care P.a. Urgent Care CurrentSince Jan 28, 2017 Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

385 W 9000 S
Sandy, UT 84070
Phone (801) 562-5200

1735 S Redwood Rd
Ste 115
Slc, UT 84104
Phone (801) 973-4434

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1902178650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 W 9000 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702551",
            "telephone_number": "801-562-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 W 9000 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702551",
            "telephone_number": "801-562-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRIDGE",
        "first_name": "MARK",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-27",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "UT",
            "license": "9124468-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.