Avenues to Health, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

20071866 Issued in UT

Legal business name

AVENUES TO HEALTH, LLC

Practice address

223 W 700 S
Suite D
Salt Lake City, UT 84101-2718

Phone

(801) 521-2220

Fax

(801) 521-2221

NPI assigned

Mar 5, 2008

Last updated

Mar 5, 2008By 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

Mrs. Susana Kinikini Mounga, C-FNP

Title

President

Phone

(801) 521-2220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1316117344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W 700 S",
            "address_2": "SUITE D",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012718",
            "telephone_number": "801-521-2220",
            "fax_number": "801-521-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W 700 S",
            "address_2": "SUITE D",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012718",
            "telephone_number": "801-521-2220",
            "fax_number": "801-521-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES TO HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "MOUNGA",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_middle_name": "KINIKINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-521-2220",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C-FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "20071866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Monroe Avent, MD
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• Avenues Psychotherapy Collective LCSW PLLC
• Avenues Surgery Center, LLC (Intermountain Health Surgery Center - Avenues)
• Courtney Averett, SUDC
• Danielle Averett
• Joey Averett
• Kelly R Averett, PA-C
• Andrew H Avery, PA-C

• Primary Care Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Primary Care Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.