Active NPI
Mindful Wellness Solutions, LLC
- Family Nurse Practitioner
- Herriman, UT
National Provider Identifier
1013767342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MINDFUL WELLNESS SOLUTIONS, LLC
- Practice address
- 14872 S Mossley Bend Dr
Herriman, UT 84096-1455 - Phone
- (385) 786-0692
- Fax
- (385) 263-7798
- NPI assigned
- Mar 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joy Petersen, FNP-BC
- Title
- Nurse Practitioner
- Phone
- (385) 786-0692
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
14872 S Mossley Bend Dr
Herriman, UT 84096-1455
Mailing address
5526 W 13400 S # 333
Herriman, UT 84096-6919
Phone (385) 786-0692
Other names 1
- The Clarity Clinic for ADHD
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Murray, UT
- NPI 1558930628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713312000000",
"number": "1013767342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5526 W 13400 S # 333",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "840966919",
"telephone_number": "385-786-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14872 S MOSSLEY BEND DR",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "840961455",
"telephone_number": "385-786-0692",
"fax_number": "385-263-7798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL WELLNESS SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-27",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A",
"authorized_official_last_name": "PETERSEN",
"authorized_official_first_name": "JOY",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "385-786-0692",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Clarity Clinic for ADHD",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Clarity Clinic for ADHD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Herriman, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.