Organization Active NPI

Mindful Wellness Solutions, LLC

  • Family Nurse Practitioner
  • Herriman, UT
National Provider Identifier
1013767342
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Joy Petersen, FNP-BCNPI 1558930628
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.