NPIMap

Organization Active NPI

Nurse Practitioner Healthcare Associates

  • Primary Care Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1114124732
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NURSE PRACTITIONER HEALTHCARE ASSOCIATES
Practice address
4568 Highland Dr
Suite # 290
Salt Lake City, UT 84117-4263
Phone
(801) 274-6127
Fax
(801) 274-6129
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Ms. Kathleen Ann Stillion-Allen, APRN,MS, C-FNPNPI 1770615296
Title
Owner
Phone
(801) 274-6127

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4568 Highland Dr
Suite # 290
Salt Lake City, UT 84117-4263

Mailing address

4568 Highland Dr
Suite # 290
Salt Lake City, UT 84117-4263
Phone (801) 274-6127

Other names 1

  • NPHA Doing business as

National Provider Directory

National Provider Directory

Locations

4568 S Highland Dr
Ste 290
Slc, UT 84117
Phone (801) 274-6127

Practitioners & affiliated clinicians

Practitioners 4

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": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1114124732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4568 HIGHLAND DR",
            "address_2": "SUITE # 290",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174263",
            "telephone_number": "801-274-6127",
            "fax_number": "801-274-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 HIGHLAND DR",
            "address_2": "SUITE # 290",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174263",
            "telephone_number": "801-274-6127",
            "fax_number": "801-274-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE PRACTITIONER HEALTHCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "STILLION-ALLEN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-274-6127",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN,MS, C-FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NPHA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.