1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Physician Assistant
  6. NPI Profile

MARIYA NIKOLAEVA
NPI 1124675079
Physician Assistant in Salt Lake City, UT

Active since August 23, 2019
1685 W 2200 S, SALT LAKE CITY, UT 84119(801) 478-7705 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2022, Dec 28, 2021, Aug 23, 2019 (3 updates tracked since 2019).

About Mariya Nikolaeva NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIYA NIKOLAEVA (NPI 1124675079) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (12492182-1206) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1124675079
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIYA NIKOLAEVA
Location Address1685 W 2200 SSalt Lake City, UT 84119-1456
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 478-7705
Sole ProprietorYes
Enumeration DateAugust 23, 2019
Last NPPES UpdateMay 25, 20223 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1124675079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 12492182-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 12492182-1206 (UT)
1685 W 2200 S, Salt Lake City, UT 84119
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIE DUFRESNE BAMBO PT
Physical Therapist
1685 W 2200 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 887-5455
IHC HEALTH SERVICES INC
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
1685 W 2200 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 972-8850
SARAH SCOVILLE PA-C
Physician Assistant (Medical)
1685 W 2200 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 972-8850
IHC HEALTH SERVICES INC
Clinic/Center (Rehabilitation)
1685 W 2200 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 887-5455
KATIE NICOLE SAMUELS PT
Physical Therapist
1685 W 2200 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 478-7780
EKATERINA PARKINSON DPT
Specialist
1685 W 2200 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 887-5455
BRAD L DALTON PT
Physical Therapist
1685 W 2200 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 975-1027
DON REID MERKLEY APRN
Nurse Practitioner (Occupational Health)
1685 W 2200 S
SALT LAKE CITY, UT 84119
Salt Lake County (801) 972-8850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariya Nikolaeva's NPI number?

The NPI number for Mariya Nikolaeva is 1124675079. It was assigned to this individual provider in the NPPES registry on August 23, 2019.

Where is Mariya Nikolaeva located?

Mariya Nikolaeva practices at 1685 W 2200 S, Salt Lake City, UT 84119. The listed phone number is (801) 478-7705.

What is Mariya Nikolaeva's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Mariya Nikolaeva accept?

Health plans from Select Health list Mariya Nikolaeva as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mariya Nikolaeva was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.