Active NPI
Tree of Life Medical and Wellness Center
- Multi-Specialty Clinic/Center
- West Jordan, UT
National Provider Identifier
1689454050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- TREE OF LIFE MEDICAL AND WELLNESS CENTER
- Practice address
- 1561 W 7000 S Ste 100
West Jordan, UT 84084-3556 - Phone
- (801) 679-1641
- NPI assigned
- Oct 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacy Wright
- Title
- Ceo
- Phone
- (801) 631-9448
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Nuclear Cardiology Physician | 207UN0901X | |||
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1561 W 7000 S Ste 100
West Jordan, UT 84084-3556
Mailing address
5 Legend LN
Sandy, UT 84092-4801
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696550400000",
"number": "1689454050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 LEGEND LN",
"city": "SANDY",
"state": "UT",
"postal_code": "840924801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 W 7000 S STE 100",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840843556",
"telephone_number": "801-679-1641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREE OF LIFE MEDICAL AND WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-631-9448"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.