NPIMap

Organization Active NPI

Heal SLC LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • South Jordan, UT
National Provider Identifier
1699415604
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HEAL SLC LLC
Practice address
881 W Baxter Dr Ste 100
South Jordan, UT 84095-8506
Phone
(208) 261-2411
NPI assigned
Mar 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Elizabeth Lynn, APRNNPI 1003412313
Title
Founder
Phone
(208) 261-2411

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

881 W Baxter Dr Ste 100
South Jordan, UT 84095-8506

Mailing address

PO Box 1173
Post Falls, ID 83877-1173
Phone (208) 261-2411

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1699415604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1173",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838771173",
            "telephone_number": "208-261-2411",
            "fax_number": "866-291-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 W BAXTER DR STE 100",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958506",
            "telephone_number": "208-261-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL SLC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "208-261-2411",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.