1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MIRA BASUINO
NPI 1689478380
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Active since April 02, 2025
15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112(801) 581-4390 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mira Basuino NPPES

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

MIRA BASUINO (NPI 1689478380) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1689478380
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIRA BASUINO
Location Address15 N MEDICAL DR STE 1100Salt Lake City, UT 84112-1100
Mailing Address15 N Medical Dr Ste 1100Salt Lake City, UT 84112-1100
Phone(801) 581-4390
Sole ProprietorNo
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1689478380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
15 N MEDICAL DR STE 1100, Salt Lake City, UT 84112
Open in Google Maps ↗

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.

YAHYA DANESHBOD MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
JOHN M. DAINES MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
GANNA SHESTAKOVA M.D. PH.D.
Pathology (Hematology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 583-2787
KASEY DONEY DO
Student in an Organized Health Care Education/Training Program
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
KATE HELENA PARKINSON MD
Pathology (Hematology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
ELIZABETH S. DOUGHTY MD, PHD
Pathology (Anatomic Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
LUKE ANTHONY VAN GORP MD
Student in an Organized Health Care Education/Training Program
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
ALEXANDER SCOTT LOKKEN MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390

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 Mira Basuino's NPI number?

The NPI number for Mira Basuino is 1689478380. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Mira Basuino located?

Mira Basuino practices at 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112. The listed phone number is (801) 581-4390.

What is Mira Basuino's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mira Basuino was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.