Active NPI
Vanessa L Mock, MAOM, L.AC.
- Acupuncturist
- Salt Lake City, UT
National Provider Identifier
1285216374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 12165069-1201
- Practice address
- 34 S 500 E Ste 202
Salt Lake City, UT 84102-1094 - Phone
- (801) 582-2011
- NPI assigned
- Apr 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 12165069-1201 | UT | Primary |
Addresses
Primary practice location
34 S 500 E Ste 202
Salt Lake City, UT 84102-1094
Mailing address
3351 S El Serrito Dr
Salt Lake City, UT 84109-4249
Phone (267) 255-2299
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | heightsacuclinic@gmail.com | Health Information Exchange (HIE) | |
| Other URL | Vanessa.utah@anodynepain.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12165069-1201 | UT | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1285216374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3351 S EL SERRITO DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841094249",
"telephone_number": "267-255-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 S 500 E STE 202",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021094",
"telephone_number": "801-582-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCK",
"first_name": "VANESSA",
"middle_name": "L",
"credential": "MAOM, L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2021-04-27",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "UT",
"license": "12165069-1201",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "heightsacuclinic@gmail.com",
"affiliation": "N",
"endpointDescription": "gmail",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "34 S 500 E Ste 202",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841021094",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Vanessa.utah@anodynepain.com",
"affiliation": "N",
"endpointDescription": "clinic email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "34 S 500 E Ste 202",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841021094",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.