Quintessence Health and Wellness

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

QUINTESSENCE HEALTH AND WELLNESS

Practice address

12340 S 450 E
Draper, UT 84020-8154

Phone

(801) 930-9381

Fax

(385) 275-5200

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

Adam Larson, MD

Title

Chief Medical Officer

Phone

(801) 930-9381

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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

• Margaret Brooke Anderson, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1538509575
  NPD (past)
• Laurie Childs, PA-C

  • Medical Physician Assistant
  • Draper, UT
  • NPI 1235355819
  NPD (past)
• Nicole Kelly, P.A.-C

  • Physician Assistant
  • Draper, UT
  • NPI 1013312339
  NPD (past)
• Amy B. Killen, M.D.

  • General Practice Physician
  • Draper, UT
  • NPI 1992779185
  NPD (past)
• Emily S Smith, PA

  • Physician Assistant
  • Murray, UT
  • NPI 1215254529
  NPD (past)
• Ashlee Williams, APRN

  • Family Nurse Practitioner
  • Murray, UT
  • NPI 1528621752
  NPD (past)

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1659974293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 S 450 E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208154",
            "telephone_number": "801-930-9381",
            "fax_number": "385-275-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 S 450 E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208154",
            "telephone_number": "801-930-9381",
            "fax_number": "385-275-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 E 9400 S Ste 109",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840944131",
            "country_code": "US",
            "telephone_number": "801-930-9381",
            "fax_number": "385-275-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 King St",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840414678",
            "country_code": "US",
            "telephone_number": "801-930-9381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUINTESSENCE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "801-930-9381",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Purrell
• Rachael Pust
• Emily Ruth Smith Putnam, PH.D.
• August Capri Quaife, MOTR/L, LMT
• Catherine Quebodeaux, RD
• Jackson Quist
• R.P. Consulting L.L.C
• R&K Marcroft, Inc
• Madivel Raddon
• Jeremy Jewett Raine

• All providers in Draper, UT
• Pain Medicine (Anesthesiology) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.