Integrated Wellness Utah

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

INTEGRATED WELLNESS UTAH

Practice address

10376 S Jordan Gtwy
South Jordan, UT 84095-3954

Phone

(801) 816-0332

Fax

(801) 816-0331

NPI assigned

Aug 2, 2013

Organization subpart

No

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

Authorized official

Name

Laura Hill

Title

Office Manager

Phone

(801) 816-0332

Specialties & licenses 3

Addresses

Other names 2

• Integrated Wellness Utah Doing business as
• Integrated Pain Specialists Other name

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1629400429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10376 S JORDAN GTWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953954",
            "telephone_number": "801-816-0332",
            "fax_number": "801-816-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10376 S JORDAN GTWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953954",
            "telephone_number": "801-816-0332",
            "fax_number": "801-816-0331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 S 500 E",
            "address_purpose": "LOCATION",
            "city": "Slc",
            "state": "UT",
            "postal_code": "841021023",
            "country_code": "US",
            "telephone_number": "801-816-0332",
            "fax_number": "801-816-0331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED WELLNESS UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-816-0332"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "address_1": "10376 S Jordan Gtwy",
            "city": "South Jordan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840953954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "address_1": "34 S 500 E",
            "city": "Slc",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841021023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Integrated Wellness Utah",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrated Wellness Utah",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrated Pain Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Inspire Health Clinics LLC
• Instamobile Care LLC
• Integrated Functional Medicine, LLC
• Integrated Functional Medicine, LLC
• Integrated Wellness South Jordan PLLC
• Ashley Iverson, B.S, E-CYT-500
• Jacob Jackson
• Steven Jackson, DPT
• Francoix Jacques, D.C.
• Macheala Jacquez, PHARM.D.

• Interventional Pain Medicine Physician in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Interventional Pain Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.