NPIMap

Organization Active NPI

Second Nature Entrada

Doing business as Evoke at Entrada

  • Clinical Social Worker
  • Santa Clara, UT
National Provider Identifier
1326403379
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9190382-3501 Issued in UT
Legal business name
SECOND NATURE ENTRADA
Doing business as
Evoke at Entrada
Practice address
2711 Santa Clara Dr Ste 400
Santa Clara, UT 84765-5480
Phone
(435) 674-9310
Fax
(435) 674-9309
NPI assigned
Dec 17, 2015
Last updated
Dec 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Gail Bramlet
Title
Office Manager
Phone
(435) 229-5395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9190382-3501 UT Primary

Addresses

Primary practice location

2711 Santa Clara Dr Ste 400
Santa Clara, UT 84765-5480

Mailing address

2711 Santa Clara Dr Ste 400
Santa Clara, UT 84765-5480
Phone (435) 674-9310

Other names 1

  • Evoke at Entrada Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Evoke at Entrada3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1326403379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 SANTA CLARA DR STE 400",
            "city": "SANTA CLARA",
            "state": "UT",
            "postal_code": "847655480",
            "telephone_number": "435-674-9310",
            "fax_number": "435-674-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 SANTA CLARA DR STE 400",
            "city": "SANTA CLARA",
            "state": "UT",
            "postal_code": "847655480",
            "telephone_number": "435-674-9310",
            "fax_number": "435-674-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND NATURE ENTRADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "BRAMLET",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-229-5395"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9190382-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evoke at Entrada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Clara, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.