Sanavera Medical LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SANAVERA MEDICAL LLC

Practice address

6626B W Wide Hollow Dr
Herriman, UT 84096-3550

Phone

(661) 992-3146

NPI assigned

Aug 4, 2026

Organization subpart

No

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

Authorized official

Name

Kathleen Mitchell, FNP

Title

Owner

Phone

(661) 992-3146

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1093638249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 W WIDE HOLLOW DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840963550",
            "telephone_number": "661-992-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6626B W WIDE HOLLOW DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840963550",
            "telephone_number": "661-992-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANAVERA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-992-3146",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Herriman, UT
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• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.