NPIMap

Organization Active NPI

Sunrise Solutions

  • Clinical Social Worker
  • Draper, UT
National Provider Identifier
1598112385
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5546112-3501 Issued in UT
Legal business name
SUNRISE SOLUTIONS
Doing business as
Sunrise Solutions
Practice address
11650 S State St Ste 104
Draper, UT 84020-7144
Phone
(801) 867-3472
Fax
(801) 401-7850
NPI assigned
May 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Karen Madsen
Title
Administrative Office Manager
Phone
(801) 867-3472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 5546112-3501 UT Primary

Addresses

Primary practice location

11650 S State St Ste 104
Draper, UT 84020-7144

Mailing address

11650 S State St Ste 104
Draper, UT 84020-7144
Phone (801) 867-3472

Other names 1

  • Sunrise Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220802003184 UT Part B Supplier - Clinic/Group Practice 9537541875 Receives reassigned benefits from 6 practitioners
Practice locations: Draper, UT

National Provider Directory

National Provider Directory

Locations

11650 S State St
Ste 104
Draper, UT 84020
Phone (801) 867-3472

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1463788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1598112385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 S STATE ST STE 104",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207144",
            "telephone_number": "801-867-3472",
            "fax_number": "801-401-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 S STATE ST STE 104",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207144",
            "telephone_number": "801-867-3472",
            "fax_number": "801-401-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-21",
        "last_updated": "2023-11-17",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICE MANAGER",
        "authorized_official_telephone_number": "801-867-3472"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5546112-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunrise Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.