First Watch Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FIRST WATCH WELLNESS, LLC

Practice address

13867 S Bangerter Pkwy Ste 201
Draper, UT 84020-5318

Phone

(877) 225-5443

NPI assigned

Feb 14, 2024

Organization subpart

No

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

Authorized official

Name

Genevieve Mannor

Title

Executive Director

Phone

(801) 707-8282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1245095710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840201008",
            "telephone_number": "877-225-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13867 S BANGERTER PKWY STE 201",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205318",
            "telephone_number": "877-225-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST WATCH WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "MANNOR",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-707-8282"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dulce Figueroa
• Amoni Paeahelotu Finau
• Challis Finn
• Humble Finsand, D.C.
• First Care Medical-Orthomed LLC
• Kira Firzlaff, PHARMD
• Tyler Fischer
• Geneva Fisher
• Haylee Fisher
• Roland C Fitts, PHARMD

• Clinical Social Worker in Draper, UT
• Providers in Draper, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.