Organization Active NPI

Mindful Healing LLC

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1346732765
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200020-4405 Issued in UT
Legal business name
MINDFUL HEALING LLC
Practice address
6575 S Redwood Rd Ste 240
Salt Lake City, UT 84123-5694
Phone
(801) 432-7712
NPI assigned
Jun 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Authorized official

Name
Martha Southwick, NURSE PRACTITIONERNPI 1568685550
Title
Owner/Employee
Phone
(801) 432-7712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 200020-4405 UT Primary

Addresses

Primary practice location

6575 S Redwood Rd Ste 240
Salt Lake City, UT 84123-5694

Mailing address

6575 S Redwood Rd Ste 240
Salt Lake City, UT 84123-5694
Phone (801) 432-7712

Other identifiers 1

IdentifierTypeStateIssuer
1017129MedicaidUT

Other names 1

  • Southwick Integrative Healing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190821001903 UT Part B Supplier - Clinic/Group Practice 6002169901 Receives reassigned benefits from 2 practitioners
Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory

Locations

6575 S Redwood Rd
Ste 240
Taylorsville, UT 84123

6575 S Redwood Rd
Ste 350
Taylorsville, UT 84123
Phone (801) 432-7712

8541 S Redwood Rd
Ste C2
West Jordan, UT 84088
Phone (801) 432-7712

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786147200000",
    "number": "1346732765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 S REDWOOD RD STE 240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841235694",
            "telephone_number": "801-432-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 S REDWOOD RD STE 240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841235694",
            "telephone_number": "801-432-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A",
        "authorized_official_last_name": "SOUTHWICK",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "801-432-7712",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "200020-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017129",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwick Integrative Healing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwick Integrative Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.