Active NPI
Aura Migraine Clinic PLLC
- Family Nurse Practitioner
- Orem, UT
National Provider Identifier
1073382701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- AURA MIGRAINE CLINIC PLLC
- Practice address
- 370 E 800 S Ste B
Orem, UT 84097-6386 - Phone
- (801) 472-9836
- NPI assigned
- Dec 21, 2023
- Last updated
- Dec 21, 2023
- 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
- London Jackson, FNP-C
- Title
- Owner
- Phone
- (801) 472-9836
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 | NU | Primary |
Addresses
Primary practice location
370 E 800 S Ste B
Orem, UT 84097-6386
Mailing address
370 E 800 S Ste B
Orem, UT 84097-6386
Phone (801) 472-9836
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Care Nurse Practitioner
- Springville, UT
- NPI 1902416795
-
- Family Nurse Practitioner
- Orem, UT
- NPI 1851064810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703116800000",
"number": "1073382701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 E 800 S STE B",
"city": "OREM",
"state": "UT",
"postal_code": "840976386",
"telephone_number": "801-472-9836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 E 800 S STE B",
"city": "OREM",
"state": "UT",
"postal_code": "840976386",
"telephone_number": "801-472-9836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURA MIGRAINE CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-21",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "LONDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-472-9836",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.