Active NPI
Virginia Hutton Manay
- Family Nurse Practitioner
- Tooele, UT
National Provider Identifier
1942951553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13196457-4405
- Practice address
- 25 S 100 E
Tooele, UT 84074-2116 - Phone
- (435) 843-3440
- NPI assigned
- Jan 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.520054 | IL | |
| Registered Nurse | 163W00000X | 25634630 | WI | |
| Family Nurse Practitioner | 363LF0000X | 209026151 | IL | |
| Family Nurse Practitioner | 363LF0000X | 13196457-4405 | UT | Primary |
Addresses
Primary practice location
25 S 100 E
Tooele, UT 84074-2116
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other practice location 1
654 S 900 E
Salt Lake City, UT 84102-3478
Phone (801) 322-5571
Other practice location 2
1276 N Clybourn Ave
Chicago, IL 60610-2003
Phone (312) 337-1073
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.520054 | IL | MD | Registered Nurse |
| 25634630 | WI | MD | Registered Nurse |
| 209026151 | IL | MD | Family Nurse Practitioner |
| 13196457-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Planned Parenthood Association of Utah | Past | Accepting new patients | |
| Planned Parenthood Association of Utah | Past | Accepting new patients | |
| Planned Parenthood Association of Utah | Past | Accepting new patients | |
| Planned Parenthood Association of Utah | Past | Accepting new patients |
Locations
5063 S Cottonwood St
Salt Lake City, UT 84107
Phone (801) 507-1800
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
Interoperability endpoints
- virginia.hutton.p1@direct.ppau.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Medical Oncology Physician
- Murray, UT
- NPI 1841741220
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Voluntary or Charitable Agency
- Salt Lake City, UT
- NPI 1073549614
-
- Clinic Pharmacy
- Salt Lake City, UT
- NPI 1801387626
-
- Clinic Pharmacy
- West Valley City, UT
- NPI 1881010874
-
- Clinic Pharmacy
- Orem, UT
- NPI 1902397847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1942951553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30180",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 S 100 E",
"city": "TOOELE",
"state": "UT",
"postal_code": "840742116",
"telephone_number": "435-843-3440"
}
],
"practiceLocations": [
{
"address_1": "654 S 900 E",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841023478",
"country_code": "US",
"telephone_number": "801-322-5571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1276 N Clybourn Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606102003",
"country_code": "US",
"telephone_number": "312-337-1073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANAY",
"first_name": "VIRGINIA",
"middle_name": "HUTTON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-14",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.520054",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "25634630",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209026151",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "13196457-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.