Individual provider Active NPI

Hillary Bowler Davis, AMFT

  • Marriage & Family Therapist
  • Pleasant Grove, UT
National Provider Identifier
1003407768
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1192157-3904 Issued in UT
Practice address
135 W Center St
Pleasant Grove, UT 84062-2207
Phone
(801) 785-1169
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1192157-3904 UT Primary

Addresses

Primary practice location

135 W Center St
Pleasant Grove, UT 84062-2207

Mailing address

15193 S Reins Way
Bluffdale, UT 84065-1816
Phone (801) 608-4128

Other identifiers 1

IdentifierTypeStateIssuer
11921517-394OtherUTSTATE OF UTAH DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING

Other names 1

  • Hillary Anne Bowler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1192157-3904UTMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1003407768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15193 S REINS WAY",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840651816",
            "telephone_number": "801-608-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W CENTER ST",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622207",
            "telephone_number": "801-785-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HILLARY",
        "middle_name": "BOWLER",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "1192157-3904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING",
            "identifier": "11921517-394",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "BOWLER",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.