NPIMap

Organization Active NPI

Pioneer Injury Care

  • Nurse Practitioner
  • Draper, UT
National Provider Identifier
1114382033
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PIONEER INJURY CARE
Practice address
12433 S Fort St
Draper, UT 84020-9363
Phone
(801) 576-1086
Fax
(801) 576-9796
NPI assigned
Dec 18, 2015
Last updated
Dec 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Gary Olsen, D.C.NPI 1023092293
Title
Owner
Phone
(801) 576-1086

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
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

12433 S Fort St
Draper, UT 84020-9363

Mailing address

12433 S Fort St
Draper, UT 84020-9363
Phone (801) 576-1086

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1114382033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12433 S FORT ST",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209363",
            "telephone_number": "801-576-1086",
            "fax_number": "801-576-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12433 S FORT ST",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209363",
            "telephone_number": "801-576-1086",
            "fax_number": "801-576-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER INJURY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-576-1086",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.