NPIMap

Organization Active NPI

Ryan Westbroek LLC

  • Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1609538552
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
RYAN WESTBROEK LLC
Practice address
3500 Harrison Blvd Ste 200
Ogden, UT 84403-2038
Phone
(801) 515-7997
Fax
(385) 333-7413
NPI assigned
Oct 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Elizabeth Allison
Title
Billing Specialist
Phone
(801) 391-6617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

3500 Harrison Blvd Ste 200
Ogden, UT 84403-2038

Mailing address

4126 S 5000 W
West Haven, UT 84401-9403
Phone (801) 529-8935

Other names 1

  • Westbroek Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ryan Westbroek LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1609538552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 S 5000 W",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844019403",
            "telephone_number": "801-529-8935",
            "fax_number": "801-627-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 HARRISON BLVD STE 200",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032038",
            "telephone_number": "801-515-7997",
            "fax_number": "385-333-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN WESTBROEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "801-391-6617"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westbroek Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.