Sunrise Family Practice LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

211972-4405 Issued in UT

Legal business name

SUNRISE FAMILY PRACTICE LLC

Practice address

8785 S Jordan Valley Way # 100
West Jordan, UT 84088-9772

Phone

(385) 645-7474

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Jololene Allan, APRN

Title

Owner

Phone

(385) 645-7474

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.

• Millie K Dorsey, APRN, NP-C

  • Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1073119285
  NPD (past)

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1386135762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8785 S JORDAN VALLEY WAY # 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8785 S JORDAN VALLEY WAY # 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889772",
            "telephone_number": "385-645-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "ALLAN",
        "authorized_official_first_name": "JOLOLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-645-7474",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "211972-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimie Sullivan
• Josh Sullivan
• Summit Clinical Services of Utah LLC
• Summit View Health Center, LLC
• Kim Sundstrom, DNP, APRN, PMHNP-BC
• Sunrise Medical Supply Store
• Racheal Susaeta
• Angela R Sutt, PHARMD
• Taylor S Suval, DC
• Dezmond Thorley Swain, PMHNP-BC

• Primary Care Clinic/Center in West Jordan, UT
• Providers in West Jordan, 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 Feb 14, 2019; 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.