Summit Wellness Clinic LLC

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

SUMMIT WELLNESS CLINIC LLC

Practice address

12397 S 300 E Ste 200
Draper, UT 84020-8274

Phone

(801) 758-0225

NPI assigned

Jul 6, 2023

Organization subpart

No

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

Authorized official

Name

Kimberly Kercher Glasgow, DCNPI 1508192311

Title

Managing Member

Phone

(801) 702-0386

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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

• Kimberly Kercher Glasgow, D.C.

  • Chiropractor
  • Draper, UT
  • NPI 1508192311
  NPD Authorized official

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1053099366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12397 S 300 E STE 200",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208274",
            "telephone_number": "801-702-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12397 S 300 E STE 200",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208274",
            "telephone_number": "801-758-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "GLASGOW",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KERCHER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-702-0386",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Kate Sudweeks
• Brittany Marie Summerhays, CRNA
• Amie Summers
• Summit Family Chiropractic and Wellness, LLC
• Summit Peak Counseling LLC
• Suncrest Recovery
• Sundance Canyon East
• Sundance Canyon East
• Sundance Canyon East
• Sunny Smiles PLLC

• Integrative Medicine Physician in Draper, UT
• Providers in Draper, UT by specialty
• Integrative Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.