Kalo Wellness, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KALO WELLNESS, LLC

Practice address

4133 W Pioneer Pkwy Ste 110
West Valley City, UT 84120-2059

Phone

(801) 375-7457

Fax

(801) 363-7574

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Isabella M Johnson

Title

President, Ceo

Phone

(801) 375-7457

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valarie D Jacobs, APRN

  • Family Nurse Practitioner
  • Bountiful, UT
  • NPI 1912480567
  NPD (past)

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1356029458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 400 S STE 237",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113178",
            "telephone_number": "801-375-7574",
            "fax_number": "801-363-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 W PIONEER PKWY STE 110",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202059",
            "telephone_number": "801-375-7457",
            "fax_number": "801-363-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALO WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "801-375-7457"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Valley Medical Center LP (Jordan Valley Medical Center)
• Joseph M Molina MD Professional Corporation - Southern California (Molina Medical Group of Southern California)
• Mary D Joyce, APRN
• Aaliyah Juarez
• JXC LLC (Dana Orthodontics)
• Jessica Ann Karren, FNP
• Shannon Kartchner, R.N.
• Jacqueline Katt
• Robert Keddington, MD
• Jacqueline Kende

• Primary Care Clinic/Center in West Valley City, UT
• Providers in West Valley 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 Jul 7, 2023; 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.