Individual provider Active NPI

Jamie Ranae Wriben, PH.D., MTRS, CTRS

  • Recreation Therapist
  • Delta, UT
National Provider Identifier
1215822507
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
10793956-4001 Issued in UT
Practice address
150 White Sage Ave
Delta, UT 84624-8928
Phone
(801) 633-9254
NPI assigned
Jun 9, 2025
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 10793956-4001 UT Primary

Addresses

Primary practice location

150 White Sage Ave
Delta, UT 84624-8928

Mailing address

8171 N Iron Horse Dr
Lake Point, UT 84074-3496
Phone (801) 633-9254

Other names 1

  • Jamie Ranae Bennett Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10793956-4001UTMDRecreation Therapist

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1215822507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8171 N IRON HORSE DR",
            "city": "LAKE POINT",
            "state": "UT",
            "postal_code": "840743496",
            "telephone_number": "801-633-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WHITE SAGE AVE",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846248928",
            "telephone_number": "801-633-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIBEN",
        "first_name": "JAMIE",
        "middle_name": "RANAE",
        "credential": "PH.D., MTRS, CTRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "UT",
            "license": "10793956-4001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "BENNETT",
            "middle_name": "RANAE",
            "credential": "PH.D., MTRS, CTRS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delta, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.