Advanced Vein and Vascular of Utah Valley LLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

ADVANCED VEIN AND VASCULAR OF UTAH VALLEY LLC

Practice address

591 N State Road 198 # 202
Salem, UT 84653-5668

Phone

(385) 388-8003

Fax

(385) 344-4006

NPI assigned

Sep 2, 2020

Last updated

Aug 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynsey Nielsen

Title

Office Manager

Phone

(385) 388-8003

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1093329427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 S REDWOOD RD STE 102",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841236799",
            "telephone_number": "385-388-8003",
            "fax_number": "385-344-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 N STATE ROAD 198 # 202",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846535668",
            "telephone_number": "385-388-8003",
            "fax_number": "385-344-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VEIN AND VASCULAR OF UTAH VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "LYNSEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "385-388-8003"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Taylorsville",
            "affiliation": "N",
            "address_1": "6321 S Redwood Rd Ste 102",
            "city": "Taylorsville",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841236799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ahc of Salem LLC (Advanced Health Care of Salem)
• Tala'at Al-Shuqairat, MD
• Courtney Amber Allred
• Jannelyse Allred
• Amber Lynn Anderson

• Interventional Cardiology Physician in Salem, UT
• Providers in Salem, UT by specialty
• Interventional Cardiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.