Marci Baak PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MARCI BAAK PLLC

Doing business as

Sweet Leaf Family Practice

Practice address

4624 S Holladay Blvd Ste 201
Salt Lake City, UT 84117-7168

Phone

(801) 837-2600

NPI assigned

May 1, 2020

Organization subpart

No

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

Authorized official

Name

Marci Baak, NP

Title

Owner

Phone

(801) 577-4003

Specialties & licenses 1

Addresses

Other names 1

• Sweet Leaf Family Practice Doing business as

Locations

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1407477474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 E HUDSON AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061609",
            "telephone_number": "801-577-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 S HOLLADAY BLVD STE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177168",
            "telephone_number": "801-837-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCI BAAK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "BAAK",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-577-4003",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweet Leaf Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Conrad Marchant
• Jennifer Marchant
• Joshua Marchant
• Alexander Marchek, MD
• James Russell Marchel, PH.D.
• Sara Marcine, DDS
• Mazzy Frost Marcucci, MD
• McKenna Marcum
• Brian Jeremy Marcus, M.D.
• Robin Marcus, P.T.

• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.