Michelle Denae Speckman, RPH

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

333237-1701 Issued in UT

Practice address

4133 W Pioneer Pkwy Ste 130
West Valley City, UT 84120-2059

Phone

(801) 403-4934

Fax

(888) 546-0632

NPI assigned

Jan 5, 2024

Last updated

Jan 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oquirrh Services

  dba Reeva Suites

  • Specialist
  • Taylorsville, UT
  • NPI 1225895022
  NPD

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1689444101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 W PIONEER PKWY STE 130",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202059",
            "telephone_number": "801-403-4934",
            "fax_number": "888-546-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 W PIONEER PKWY STE 130",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202059",
            "telephone_number": "801-403-4934",
            "fax_number": "888-546-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECKMAN",
        "first_name": "MICHELLE",
        "middle_name": "DENAE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "UT",
            "license": "333237-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Alexis Sorensen, LCSW
• Shala Sorensen
• Steven Sorensen
• Julie Sotelo
• Edward G Southwick, M.D.
• Elizabeth Spencer
• Spine & Sports Medicine
• Spine and Sports Medicine Inc
• Warren R Stack, MD
• William Stark

• Ambulatory Care Pharmacist in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Ambulatory Care Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.