Mountain Springs Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOUNTAIN SPRINGS FAMILY MEDICINE, PLLC

Practice address

954 N 200 E Ste 954
Spanish Fork, UT 84660

Phone

(801) 504-6117

Fax

(801) 504-6328

NPI assigned

Apr 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Randy R. Lundell, D.O.

Title

Owner

Phone

(801) 504-6117

Specialties & licenses 1

Addresses

Other names 1

• Health Rejuvenation Institute Doing business as

Locations

Practitioners 2

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

• Elizabeth Daniels, FNP

  • Family Nurse Practitioner
  • Provo, UT
  • NPI 1922376383

  Family Medicine

  NPD
• Jana R. Boehler, C-PAC

  • Medical Physician Assistant
  • Spanish Fork, UT
  • NPI 1104197524
  NPD (past)

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1578707352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 N 200 E STE 954",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601247",
            "telephone_number": "801-504-6117",
            "fax_number": "801-504-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 N 200 E STE 954",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "84660",
            "telephone_number": "801-504-6117",
            "fax_number": "801-504-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SPRINGS FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "LUNDELL",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-504-6117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Rejuvenation Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Dawn Mortensen
• Troy Mortensen
• Carrie Moss
• James Daniel Moss, MSCCC - SLP
• Mountain Brook Outpatient
• Mountain West Anesthesia LLC
• Ashley Danielle Naron
• National Vision Inc
• Nebo Counseling, LLC
• Nebo Foot & Ankle LLC

• Family Medicine Physician in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.