Peak Health and Wellness, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

6801881-1206 Issued in UT

Legal business name

PEAK HEALTH AND WELLNESS, LLC

Practice address

2850 N 2000 W
#203
Farr West, UT 84404-9219

Phone

(801) 689-3389

Fax

(801) 689-2320

NPI assigned

Sep 23, 2014

Last updated

Dec 10, 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

Bryan Hainsworth, PA-CNPI 1487999488

Title

President

Phone

(801) 689-3389

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Bryan Hainsworth, PA-C

  • Pain Medicine Physician
  • Farr West, UT
  • NPI 1487999488
  Medicare reassignment Care Compare group Authorized official
• Troy Evans Johnson

  • Family Medicine Physician
  • Kamas, UT
  • NPI 1326789769
  Medicare reassignment Care Compare group
• Scott Werner, PA-C

  • Pain Medicine Physician
  • Farr West, UT
  • NPI 1043299357
  Medicare reassignment Care Compare group
• Alex Jonathan Nelson, M.D.

  • Interventional Pain Medicine Physician
  • Murray, UT
  • NPI 1730405408
  Medicare reassignment
• Taylor Swenson III, F.N.P.

  • Family Nurse Practitioner
  • Pleasant View, UT
  • NPI 1245696913
  NPD
• Shereen Zaugg, APRN-C

  • Family Nurse Practitioner
  • Farr West, UT
  • NPI 1932353653
  NPD (past)

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1528460482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N 2000 W",
            "address_2": "#203",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844049219",
            "telephone_number": "801-689-3389",
            "fax_number": "801-689-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N 2000 W",
            "address_2": "#203",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844049219",
            "telephone_number": "801-689-3389",
            "fax_number": "801-689-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5578 S 1750 E",
            "address_purpose": "LOCATION",
            "city": "South Ogden",
            "state": "UT",
            "postal_code": "84403",
            "country_code": "US",
            "telephone_number": "385-238-4681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 Heritage Park Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840415622",
            "country_code": "US",
            "telephone_number": "801-889-1790",
            "fax_number": "801-951-0518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEAK HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "HAINSWORTH",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-689-3389",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "6801881-1206",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "UT",
            "license": "46D2083659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adora Pali, RD, CD
• Bryce Parker, DPT
• Kasidi Lee Parkinson
• Marissa Tianna Fay Parry
• Paul E Reed OD PC (REED EyeCare)
• Jacob Robert Peel, PT, DPT
• Loviise Puntso
• Jeremy B Radmall, OTR/L
• Kavya Indira Rao, MD
• Julie Ann Ray

• Primary Care Clinic/Center in Farr West, UT
• Providers in Farr West, 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 Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.