Active NPI
Rubicon Health and Wellness LLC
- General Practice Physician
- Layton, UT
National Provider Identifier
1144052218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- RUBICON HEALTH AND WELLNESS LLC
- Practice address
- 1536 Woodland Park Dr Ste 210
Layton, UT 84041-5620 - Phone
- (385) 393-7486
- NPI assigned
- Aug 16, 2024
- 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
- Ian Hess
- Title
- Manager
- Phone
- (385) 393-7486
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1536 Woodland Park Dr Ste 210
Layton, UT 84041-5620
Mailing address
1536 Woodland Park Dr Ste 210
Layton, UT 84041-5620
Phone (385) 393-7486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5642777-4405 | Other | UT | APRN, FNP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2319826 | Rubicon Health and Wellness | Provider-performed microscopy | Mar 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
1536 Woodland Park Dr
Ste 210
Layton, UT 84041
Phone (385) 393-7486
1536 Woodland Park Dr
Layton, UT 84041
Phone (801) 525-5254
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Layton, UT
- NPI 1982836441
-
- Family Nurse Practitioner
- Layton, UT
- NPI 1942536081
-
- Midwife
- So Ogden, UT
- NPI 1780608828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728000000000",
"number": "1144052218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 WOODLAND PARK DR STE 210",
"city": "LAYTON",
"state": "UT",
"postal_code": "840415620",
"telephone_number": "385-393-7486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1536 WOODLAND PARK DR STE 210",
"city": "LAYTON",
"state": "UT",
"postal_code": "840415620",
"telephone_number": "385-393-7486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUBICON HEALTH AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-16",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "HESS",
"authorized_official_first_name": "IAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "385-393-7486"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN, FNP LICENSE",
"identifier": "5642777-4405",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.