Organization Active NPI

Whole Kids LLC

  • Clinical Social Worker
  • Sandy, UT
National Provider Identifier
1164966008
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WHOLE KIDS LLC
Practice address
9035 S 1300 E
B110
Sandy, UT 84094-3132
Phone
(801) 509-9652
NPI assigned
Dec 12, 2016
Last updated
Apr 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Jay Bladen
Title
Owner
Phone
(435) 760-4557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

9035 S 1300 E
B110
Sandy, UT 84094-3132

Mailing address

9947 S Fur Hollow Cir
Sandy, UT 84092-4085
Phone (435) 760-4557

National Provider Directory

National Provider Directory

Locations

9035 S 1300 E
Ste B110
Sandy, UT 84094
Phone (801) 509-9652

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1164966008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9947 S FUR HOLLOW CIR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924085",
            "telephone_number": "435-760-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 S 1300 E",
            "address_2": "B110",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943132",
            "telephone_number": "801-509-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "BLADEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-760-4557"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.