NPIMap

Organization Active NPI

Draper Family Medical Associates, LLC

  • Family Medicine Physician
  • Draper, UT
National Provider Identifier
1689893174
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5668757-1205 Issued in UT
Legal business name
DRAPER FAMILY MEDICAL ASSOCIATES, LLC
Practice address
12272 South 800 East
Suite a
Draper, UT 84020
Phone
(801) 523-1300
Fax
(801) 523-1301
NPI assigned
Apr 24, 2007
Last updated
Sep 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Carlie Hamilton, FNPNPI 1104978873
Title
Owner
Phone
(801) 523-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5668757-1205 UT Primary

Addresses

Primary practice location

12272 South 800 East
Suite a
Draper, UT 84020

Mailing address

12272 South 800 East
Suite a
Draper, UT 84020
Phone (801) 523-1300

Other names 1

  • Draper Family Practice Other name

National Provider Directory

National Provider Directory

Locations

12272 S 800 E
Ste A
Draper, UT 84020
Phone (801) 523-1300

12422 S 450 E
Ste A
Draper, UT 84020
Phone (801) 617-4633

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1689893174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12272 SOUTH 800 EAST",
            "address_2": "SUITE A",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "84020",
            "telephone_number": "801-523-1300",
            "fax_number": "801-523-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12272 SOUTH 800 EAST",
            "address_2": "SUITE A",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "84020",
            "telephone_number": "801-523-1300",
            "fax_number": "801-523-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAPER FAMILY MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "CARLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-523-1300",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "5668757-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Draper Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.