Active NPI
Mallory Ubbelohde
- Registered Dietitian
- Lehi, UT
National Provider Identifier
1174489819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 10268075-4901
- Practice address
- 1557 W Innovation Way
Lehi, UT 84043-4395 - Phone
- (844) 803-0210
- NPI assigned
- Dec 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 10268075-4901 | UT | Primary |
Addresses
Primary practice location
1557 W Innovation Way
Lehi, UT 84043-4395
Mailing address
1557 W Innovation Way
Lehi, UT 84043-4395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10268075-4901 | UT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1174489819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1557 W INNOVATION WAY",
"city": "LEHI",
"state": "UT",
"postal_code": "840434395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1557 W INNOVATION WAY",
"city": "LEHI",
"state": "UT",
"postal_code": "840434395",
"telephone_number": "844-803-0210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UBBELOHDE",
"first_name": "MALLORY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-26",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "10268075-4901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.