Active NPI
Envision Quality Supports
- Case Manager/Care Coordinator
- Murray, UT
National Provider Identifier
1205749066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- ENVISION QUALITY SUPPORTS
- Practice address
- 6364 S Highland Dr Ste 201
Murray, UT 84121-2117 - Phone
- (801) 209-1357
- NPI assigned
- Sep 23, 2026
- Last updated
- Sep 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krissie Fullmer, SSW
- Title
- Executive Director
- Phone
- (801) 209-1357
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
6364 S Highland Dr Ste 201
Murray, UT 84121-2117
Mailing address
6364 S Highland Dr Ste 201
Murray, UT 84121-2117
Phone (801) 209-1357
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.
-
- Social Worker
- Murray, UT
- NPI 1215840079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1205749066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6364 S HIGHLAND DR STE 201",
"city": "MURRAY",
"state": "UT",
"postal_code": "841212117",
"telephone_number": "801-209-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6364 S HIGHLAND DR STE 201",
"city": "MURRAY",
"state": "UT",
"postal_code": "841212117",
"telephone_number": "801-209-1357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENVISION QUALITY SUPPORTS",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "FULLMER",
"authorized_official_first_name": "KRISSIE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "801-209-1357",
"authorized_official_credential": "SSW"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.