NPIMap

Organization Active NPI

Be Well Connected, PLLC

  • Health Service Clinic/Center
  • Beaverdam, UT
National Provider Identifier
1376166405
Registry record updated May 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BE WELL CONNECTED, PLLC
Practice address
13965 N Willow Creek Dr
Beaverdam, UT 84306-8707
Phone
(435) 994-2159
Fax
(435) 465-2052
NPI assigned
May 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2020

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

Authorized official

Name
Lauren Tree, LPN
Title
Owner
Phone
(435) 994-2159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

13965 N Willow Creek Dr
Beaverdam, UT 84306-8707

Mailing address

13965 N Willow Creek Dr
Beaverdam, UT 84306-8707
Phone (435) 994-2159

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590192000000",
    "number": "1376166405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13965 N WILLOW CREEK DR",
            "city": "BEAVERDAM",
            "state": "UT",
            "postal_code": "843068707",
            "telephone_number": "435-994-2159",
            "fax_number": "435-465-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13965 N WILLOW CREEK DR",
            "city": "BEAVERDAM",
            "state": "UT",
            "postal_code": "843068707",
            "telephone_number": "435-994-2159",
            "fax_number": "435-465-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELL CONNECTED, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-23",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A",
        "authorized_official_last_name": "TREE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-994-2159",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; 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.