NPIMap

Organization Active NPI

Satl Lake County

  • Case Manager/Care Coordinator
  • Salt Lake City, UT
National Provider Identifier
1336584085
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
57480656-3503 Issued in UT
Legal business name
SATL LAKE COUNTY
Practice address
177 W Price Ave
Salt Lake City, UT 84115-4345
Phone
(385) 468-4500
NPI assigned
May 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Ms. Kari Larsen, SSW
Title
Case Manger
Phone
(385) 468-4519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X 57480656-3503 UT Primary

Addresses

Primary practice location

177 W Price Ave
Salt Lake City, UT 84115-4345

Mailing address

177 W Price Ave
Salt Lake City, UT 84115-4345

National Provider Directory

National Provider Directory
Tax ID family
S L Mental Heath12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1336584085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 W PRICE AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841154345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 W PRICE AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841154345",
            "telephone_number": "385-468-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATL LAKE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "CASE MANGER",
        "authorized_official_telephone_number": "385-468-4519",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SSW"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "UT",
            "license": "57480656-3503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 13, 2013; 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.