Active NPI
Beautiful Mountain Birth Suites, LLC
- Birthing Clinic/Center
- Draper, UT
National Provider Identifier
1548643745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- Legal business name
- BEAUTIFUL MOUNTAIN BIRTH SUITES, LLC
- Practice address
- 826 E 12300 S Ste 2
Draper, UT 84020-8276 - Phone
- (801) 252-6243
- Fax
- (801) 892-0788
- NPI assigned
- Jul 7, 2015
- Last updated
- Jun 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angie R Blackett, CPM, LDEM
- Title
- Owner/Education Director
- Phone
- (801) 252-6243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | NU | Primary |
Addresses
Primary practice location
826 E 12300 S Ste 2
Draper, UT 84020-8276
Mailing address
826 E 12300 S Ste 2
Draper, UT 84020-8276
Phone (801) 252-6243
Other names 1
- Beautiful Mountain Birth
National Provider Directory
National Provider DirectoryLocations
826 E 12300 S
Ste 2
Draper, UT 84020
Phone (801) 252-6243
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Midwife
- West Jordan, UT
- NPI 1700441672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466726400000",
"number": "1548643745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 E 12300 S STE 2",
"city": "DRAPER",
"state": "UT",
"postal_code": "840208276",
"telephone_number": "801-252-6243",
"fax_number": "801-892-0788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 E 12300 S STE 2",
"city": "DRAPER",
"state": "UT",
"postal_code": "840208276",
"telephone_number": "801-252-6243",
"fax_number": "801-892-0788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAUTIFUL MOUNTAIN BIRTH SUITES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-07",
"last_updated": "2016-06-24",
"status": "A",
"authorized_official_last_name": "BLACKETT",
"authorized_official_first_name": "ANGIE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/EDUCATION DIRECTOR",
"authorized_official_telephone_number": "801-252-6243",
"authorized_official_credential": "CPM, LDEM"
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Beautiful Mountain Birth",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Draper, UT
- Andrea Susana Batista-Cacciatore, CSW, SSW
- Carston Baugh
- Ashley Baumann
- Cynthia Bautista
- Emma Beal
- Beaver Valley Hospital (Draper Rehabilitation and Care Center)
- Beaver Valley Hospital (Draper Rehabilitation and Care Center)
- Beaver Valley Hospital (Draper Rehabilitation Therapy)
- Jacob R Beazer, RBT
- Elycia Bechard, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.