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NPI 1013212802ActiveOrganization· Nurse Practitioner, Gerontology· Salt Lake City, UT
Nurse Practitioner, Gerontology in Salt Lake City, Utah, registered in NPPES in January 2011. The authorized official on file is Cynthia Ann Newby, GNP, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013212802 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 25, 2011 |
| Last updated in NPPES | Jan 25, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 308579-4405 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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