Integrated Primary Care LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INTEGRATED PRIMARY CARE LLC

Practice address

3018 E 3300 S
Salt Lake City, UT 84109-2144

Phone

(801) 419-0705

Fax

(801) 606-7902

NPI assigned

Dec 8, 2017

Organization subpart

No

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

Authorized official

Name

Sharlene Watson, NPNPI 1689007155

Title

Owner

Phone

(801) 419-0705

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sharlene K Watson, APRN

  • Women's Health Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1689007155
  NPD Authorized official

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1659886950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092144",
            "telephone_number": "801-419-0705",
            "fax_number": "801-606-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092144",
            "telephone_number": "801-419-0705",
            "fax_number": "801-606-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SHARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-419-0705",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• General Practice Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.