Organization Active NPI

Beautiful Mountain Birth Suites, LLC

  • Birthing Clinic/Center
  • Draper, UT
National Provider Identifier
1548643745
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.