Claris Health PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CLARIS HEALTH PLLC

Practice address

2975 Regent Blvd
Irving, TX 75063-3140

Phone

(203) 901-2493

NPI assigned

May 11, 2016

Last updated

Dec 14, 2023By 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

Jody Hunter, MANAGER

Title

VP

Phone

(203) 901-2493

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 14

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.

• Bryan R. Bartholomew, DO

  • Hospitalist Physician
  • Bountiful, UT
  • NPI 1407956121

  Internal Medicine

  Medicare reassignment NPD
• Kathryn Suzanne Bates, NP

  • Nurse Practitioner
  • South Jordan, UT
  • NPI 1558881565
  Medicare reassignment NPD
• Joseph Clark Fyans, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Sandy, UT
  • NPI 1447431317
  Medicare reassignment NPD
• Michelle Emiko-Oya Jenkins, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Eagle Mountain, UT
  • NPI 1376144402
  Medicare reassignment NPD
• Cody Morgan, FNP-BC

  • Family Nurse Practitioner
  • West Valley, UT
  • NPI 1962088732
  Medicare reassignment NPD
• Mark A. Rada, M.D.

  • Internal Medicine Physician
  • Sandy, UT
  • NPI 1770515140
  Medicare reassignment NPD
• Connie Russell

  • Family Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1518509637
  Medicare reassignment NPD
• Dusan Sabol, MD

  • Internal Medicine Physician
  • Cocoa Beach, FL
  • NPI 1790785426

  UT

  Medicare reassignment NPD
• Jesse Walker, DO

  • Physical Medicine & Rehabilitation Physician
  • Sandy, UT
  • NPI 1417452046
  Medicare reassignment NPD
• Kathleen Dooley, PA

  • Physician Assistant
  • American Fork, UT
  • NPI 1467964601
  Medicare reassignment
• Richelle M Gaiter, DMSC, PA

  • Physician Assistant
  • Crescent City, CA
  • NPI 1841541455

  UT

  Medicare reassignment
• Cameron Glade Peterson, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Logan, UT
  • NPI 1164604765
  Medicare reassignment

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1356797070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208003",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 REGENT BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633140",
            "telephone_number": "203-901-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARIS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "203-901-2493",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Cipov, COTA/L
• Citrus-05 PLLC
• City of Irving (Irving Fire Department)
• Nicolas Civale
• CJW Chiropractic Solutions PLLC (MyoCore)
• Clarity Hospice LLC (Advanced Hospice of Texas)
• Clarity Pediatrics Medical Group PLLC (Clarity Pediatrics Medical Group)
• Peggy Sue Clark-Holden, RN BSN
• Abdul-Ghaffaar Clark, MD
• Alexandra G Clark, ANP

• General Practice Physician in Irving, TX
• Providers in Irving, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.