Organization Active NPI

Wellness Center

  • Nurse Practitioner
  • Park City, UT
National Provider Identifier
1174959431
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
199354-4405 Issued in UT
Legal business name
WELLNESS CENTER
Practice address
8178 Gorgoza Pines Rd
Suite H
Park City, UT 84098-4607
Phone
(435) 604-0259
Fax
(435) 604-0260
NPI assigned
Sep 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Margaret A Jahries, APRN
Title
Owner
Phone
(435) 604-0259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 199354-4405 UT Primary

Addresses

Primary practice location

8178 Gorgoza Pines Rd
Suite H
Park City, UT 84098-4607

Mailing address

8178 Gorgoza Pines Rd
Suite H
Park City, UT 84098-4607
Phone (435) 604-0259

National Provider Directory

National Provider Directory

Locations

8178 Gorgoza Pines Rd
Ste G
Park City, UT 84098

8178 Gorgoza Pines Rd
Ste H
Park City, UT 84098
Phone (435) 604-0259

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1174959431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8178 GORGOZA PINES RD",
            "address_2": "SUITE H",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984607",
            "telephone_number": "435-604-0259",
            "fax_number": "435-604-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8178 GORGOZA PINES RD",
            "address_2": "SUITE H",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984607",
            "telephone_number": "435-604-0259",
            "fax_number": "435-604-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "JAHRIES",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-604-0259",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "199354-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.