Active NPI
Pamela J. Hildebrand, M.D.
- Pediatrics Physician
- Bountiful, UT
National Provider Identifier
1376568352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5764070-1205
- Practice address
- 620 Medical Dr
#100
Bountiful, UT 84010-5084 - Phone
- (801) 295-2888
- Fax
- (801) 295-0311
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5764070-1205 | UT | Primary |
Addresses
Primary practice location
620 Medical Dr
#100
Bountiful, UT 84010-5084
Mailing address
620 Medical Dr
#100
Bountiful, UT 84010-5084
Phone (801) 295-2888
Other names 1
- Pamela E. Japlit
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5764070-1205 | UT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Pediatrics, Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- West Jordan, UT
- NPI 1124102595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374796800000",
"number": "1376568352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 MEDICAL DR",
"address_2": "#100",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840105084",
"telephone_number": "801-295-2888",
"fax_number": "801-295-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 MEDICAL DR",
"address_2": "#100",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840105084",
"telephone_number": "801-295-2888",
"fax_number": "801-295-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDEBRAND",
"first_name": "PAMELA",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2013-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "5764070-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "JAPLIT",
"middle_name": "E.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.