Organization Active NPI

Step Mountain Medical

  • Family Medicine Physician
  • Herriman, UT
National Provider Identifier
1619196771
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STEP MOUNTAIN MEDICAL
Practice address
13352 S Rosecrest Rd
Herriman, UT 84096-4501
Phone
(801) 446-2760
Fax
(801) 446-2762
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Jaimie HolmesNPI 1912605619
Title
NP
Phone
(801) 446-2760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

13352 S Rosecrest Rd
Herriman, UT 84096-4501

Mailing address

13352 S Rosecrest Rd
Herriman, UT 84096-4501
Phone (801) 446-2760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050128000667 UT Part B Supplier - Clinic/Group Practice 6901856764 Receives reassigned benefits from 4 practitioners
Practice locations: Herriman, UT

National Provider Directory

National Provider Directory
Tax ID family
Step Mountain Medical2 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.

Locations

13352 S Rosecrest Rd
Herriman, UT 84096
Phone (801) 446-2760

2332 W 12600 S
Ste 2C
Riverton, UT 84065
Phone (801) 209-9797

Practitioners & affiliated clinicians

Practitioners 3

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1619196771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13352 S ROSECREST RD",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840964501",
            "telephone_number": "801-446-2760",
            "fax_number": "801-446-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13352 S ROSECREST RD",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840964501",
            "telephone_number": "801-446-2760",
            "fax_number": "801-446-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP MOUNTAIN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JAIMIE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "801-446-2760"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herriman, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.