Active NPI
Sara Rhiannon Maestas, MSN, APRN, NP-C
- Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1962075788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9254785-4405
- Practice address
- 6360 S 3000 E Ste 210
Salt Lake City, UT 84121-6972 - Phone
- (385) 220-9009
- Fax
- (801) 869-1987
- NPI assigned
- Jul 20, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9254785-4405 | UT | Primary |
Addresses
Primary practice location
6360 S 3000 E Ste 210
Salt Lake City, UT 84121-6972
Mailing address
15498 S Midnight View Way
Bluffdale, UT 84065-1759
Phone (801) 656-9737
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220311000288 | UT | Practitioner - Nurse Practitioner | 2668867573 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
240 E Ctr St
Provo, UT 84606-3107
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Health Family Practice | Family Medicine | Current | Accepting new patients |
Locations
75 S 200 E
Ste 100
Provo, UT 84606
Phone (801) 844-1615
240 E Center St
Provo, UT 84606
Phone (801) 877-5801
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Provo, UT
- NPI 1275099897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1962075788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15498 S MIDNIGHT VIEW WAY",
"city": "BLUFFDALE",
"state": "UT",
"postal_code": "840651759",
"telephone_number": "801-656-9737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 S 3000 E STE 210",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216972",
"telephone_number": "385-220-9009",
"fax_number": "801-869-1987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAESTAS",
"first_name": "SARA",
"middle_name": "RHIANNON",
"credential": "MSN, APRN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-20",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "9254785-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.