NPIMap

Organization Active NPI

Integrated Wellness Utah, LLC

  • Interventional Pain Medicine Physician
  • SLC, UT
National Provider Identifier
1164176731
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
INTEGRATED WELLNESS UTAH, LLC
Practice address
34 S 500 E Ste 202
SLC, UT 84102-1094
Phone
(801) 582-2011
Fax
(801) 582-2011
NPI assigned
Feb 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Laura Hill
Title
Director of Operations
Phone
(801) 860-9404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

34 S 500 E Ste 202
SLC, UT 84102-1094

Mailing address

34 S 500 E Ste 202
SLC, UT 84102-1094
Phone (801) 582-2011

Other names 1

  • Integrated Pain Specialists Other name

National Provider Directory

National Provider Directory

Locations

34 S 500 E
Ste 202
Slc, UT 84102
Phone (801) 582-2011

Practitioners & affiliated clinicians

Practitioners 1

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": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1164176731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S 500 E STE 202",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841021094",
            "telephone_number": "801-582-2011",
            "fax_number": "801-582-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S 500 E STE 202",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841021094",
            "telephone_number": "801-582-2011",
            "fax_number": "801-582-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED WELLNESS UTAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "801-860-9404"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Pain Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in SLC, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.