Promise Medical PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

281795-4405 Issued in UT

Legal business name

PROMISE MEDICAL PLLC

Practice address

159 N 400 W Unit B-8
Orem, UT 84057-1909

Phone

(385) 262-4135

Fax

(801) 899-7996

NPI assigned

Jun 12, 2018

Organization subpart

No

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

Authorized official

Name

Anne E Vincent, APRNNPI 1447672464

Title

Owner

Phone

(385) 262-4135

Specialties & licenses 1

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20258/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne E Vincent, APRN

  • Family Nurse Practitioner
  • Orem, UT
  • NPI 1447672464
  Medicare reassignment Care Compare group Authorized official
• Bailee Michelle Hamilton, NP

  • Nurse Practitioner
  • Orem, UT
  • NPI 1598450470
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1548753866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 N 400 W UNIT B-8",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571909",
            "telephone_number": "385-262-4135",
            "fax_number": "801-899-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 N 400 W UNIT B-8",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571909",
            "telephone_number": "385-262-4135",
            "fax_number": "801-899-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-262-4135",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "281795-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priority Emergency Response Systems
• Kimberly Jean Pritchett, APRN, NP-C
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• Procare Direct LLC (Procare Direct)
• John Nyei Proklo
• Provo Canyon School
• Provo Canyon School (Provo Canyon residential Services of Utah)
• Provo Canyon School Inc
• Jessica Lynn Prymak
• Robert David Pugh, CRNA

• Primary Care Clinic/Center in Orem, UT
• Providers in Orem, 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 Jan 19, 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.