Life Fusion LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LIFE FUSION LLC

Practice address

440 Medical Dr Ste 3
Bountiful, UT 84010-5174

Phone

(801) 698-3710

Fax

(801) 823-0225

NPI assigned

Mar 24, 2022

Organization subpart

No

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

Authorized official

Name

Tory Hinkle, MDNPI 1336244250

Title

Co-Founder

Phone

(801) 698-3710

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Tory Scott Hinkle, M.D.

  • Anesthesiology Physician
  • Bountiful, UT
  • NPI 1336244250
  NPD Authorized official

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1710637871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 LEWIS PARK CIR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105742",
            "telephone_number": "801-698-3710",
            "fax_number": "801-823-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MEDICAL DR STE 3",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105174",
            "telephone_number": "801-698-3710",
            "fax_number": "801-823-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "TORY",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "801-698-3710",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Barlow Lewis
• Teri Lewis
• Whitney Lewis
• Lexington ABA Utah LLC
• Life Choices Counseling & Services, Inc.
• Lifetouch LLC
• Lauren Lightfield, AGACNP
• Sherri Limon
• Lindstrom Chiropractic, PLLC
• Michael Lindstrom, D.C.

• Psychiatry Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Psychiatry Physician in Utah

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