Patients Choice Providers of Utah LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

PATIENTS CHOICE PROVIDERS OF UTAH LLC

Doing business as

Patients Choice Providers

Practice address

627 W 4000 N
Pleasant Grove, UT 84062-8754

Phone

(801) 471-1965

NPI assigned

May 30, 2024

Last updated

Jun 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bret Jones

Title

Ceo

Phone

(801) 471-1965

Specialties & licenses 1

Addresses

Other names 1

• Patients Choice Providers Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Noelle Mortensen Haines, A.P.R.N FNP-BC

  • Family Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1285214205
  Medicare reassignment NPD
• Chelsie Franque Harris, APRN, FNP-C

  • Family Nurse Practitioner
  • Syracuse, UT
  • NPI 1952136350
  Medicare reassignment NPD

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1497595011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 W 4000 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840628754",
            "telephone_number": "801-471-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W 4000 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840628754",
            "telephone_number": "801-471-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTS CHOICE PROVIDERS OF UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-471-1965"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patients Choice Providers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patients Choice Providers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Britney Marie Palombo, DNP, APRN, PMHNP-BC
• Adam Park
• April Parker
• Edward William Parker, M.D.
• Austin Passey
• Greg Matthew Pavich, M.D.
• Mindy Pearson
• Irene Peregrin Alvarez, MD
• Peregrine Mental Health
• Kaylin Perez

• Geriatric Medicine (Family Medicine) Physician in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Geriatric Medicine (Family Medicine) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.