Rise Pediatrics PLLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

RISE PEDIATRICS PLLC

Practice address

180 N University Ave Ste 270
Provo, UT 84601-5648

Phone

(801) 930-0776

Fax

(385) 217-6817

NPI assigned

Aug 6, 2021

Last updated

Aug 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Homer, DNPNPI 1750770269

Title

Manager

Phone

(801) 930-0776

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24756/brand/1/csg/1/fhir/r4

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.

• Sarah Babcock Homer, DNP

  • Pediatric Nurse Practitioner
  • Pleasant Grove, UT
  • NPI 1750770269

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1235803727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N UNIVERSITY AVE STE 270",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846015648",
            "telephone_number": "801-930-0776",
            "fax_number": "385-217-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N UNIVERSITY AVE STE 270",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846015648",
            "telephone_number": "801-930-0776",
            "fax_number": "385-217-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "HOMER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-930-0776",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Rios
• Rex F Ripplinger, MD
• Michael Rutledge Riquino, CSW
• Craig Martin Ririe, D.D.S. M.S.D.
• David W. Ririe, M.D.
• David Zachary Rittenhouse
• Rivendell Clinic LLC
• River Run Psychiatry PC
• Ariana Pamela Rivera
• Ivette Rivera

• Pediatric Nurse Practitioner in Provo, UT
• Providers in Provo, UT by specialty
• Pediatric Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.