Nautilus Recoverygroup Salt Lake City Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

NAUTILUS RECOVERYGROUP SALT LAKE CITY INC

Practice address

5691 S Trowbridge Way
Salt Lake City, UT 84118-9113

Phone

(310) 795-4066

NPI assigned

Aug 21, 2019

Organization subpart

No

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

Authorized official

Name

Jason Shoemaker

Title

Owner

Phone

(310) 795-4066

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1437706801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5691 S TROWBRIDGE WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841189113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5691 S TROWBRIDGE WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841189113",
            "telephone_number": "310-795-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUTILUS RECOVERYGROUP SALT LAKE CITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-795-4066"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florian Angelo Nattero
• Kerry Nau
• Carrie Anne Naughton, LCSW
• Anne Naumer, M.S.
• Ana Fifita Naupoto
• Elaine Navar, CSW
• Emily Navar, APRN
• Jamie Navarrete, SSW
• Yeslam Cristina Navarro Noriega
• Jacqueline Navarro, AGACNP-BC

• Substance Use Disorder Rehabilitation Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.