Sleep Disorders Clinic, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1888684405 Issued in UT

Legal business name

SLEEP DISORDERS CLINIC, PLLC

Practice address

688 E Union SQ # 101
Sandy, UT 84070-3403

Phone

(801) 631-5979

NPI assigned

Jul 6, 2017

Last updated

Jun 16, 2018By 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

Mary Jean Walker

Title

Aprn

Phone

(801) 938-5362

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1265953780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 E UNION SQ # 101",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 E UNION SQ # 101",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703403",
            "telephone_number": "801-631-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DISORDERS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "801-938-5362"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "1888684405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508851890",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Simmons, M.ED., BC-HIS
• Simply Dental, LLC (Simply Dental)
• Leigh Simpson
• Steven Lewis Skanchy
• Tony Lynn Skanchy, D.D.S.
• Sleep Institute of Utah LLC
• Amber Sletten
• Theresa Brooke Sligting, NP
• Natalie Joanne Slikker, MA, BCBA, LBA
• Christian Smalley, LPC, MBA

• Family Medicine Physician in Sandy, UT
• Providers in Sandy, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.