NPIMap

Organization Active NPI

Intermountain Health Care

  • Children's Hospital
  • Salt Lake City, UT
National Provider Identifier
1144408675
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
327855-4405 Issued in UT
Legal business name
INTERMOUNTAIN HEALTH CARE
Practice address
3159 Eagle Rock Way
Salt Lake City, UT 84120-1424
Phone
(801) 840-0639
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Mrs. Kristin Kay Kristensen, BSN, MSN, APRN
Title
NNP
Phone
(801) 840-0639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X 327855-4405 UT Primary

Addresses

Primary practice location

3159 Eagle Rock Way
Salt Lake City, UT 84120-1424

Mailing address

3159 Eagle Rock Way
Salt Lake City, UT 84120-1424
Phone (801) 840-0639

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1144408675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 EAGLE ROCK WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841201424",
            "telephone_number": "801-840-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 EAGLE ROCK WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841201424",
            "telephone_number": "801-840-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "KRISTENSEN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "NNP",
        "authorized_official_telephone_number": "801-840-0639",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, MSN, APRN"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "UT",
            "license": "327855-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 6, 2008; 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.