Sunrise Womens Health and Wellness PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SUNRISE WOMENS HEALTH AND WELLNESS PLLC

Practice address

724 S 1600 W Ste 200
Mapleton, UT 84664-4349

Phone

(385) 448-0055

Fax

(801) 797-0281

NPI assigned

Dec 29, 2021

Last updated

Oct 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derrick Pickering, FNPNPI 1720497597

Title

Owner

Phone

(385) 448-0055

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 3

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.

• Derrick Evan Pickering, FNP-C, CNM

  • Advanced Practice Midwife
  • Mapleton, UT
  • NPI 1720497597
  Medicare reassignment NPD Authorized official
• Pamela Grass

  • Marriage & Family Therapist
  • Orem, UT
  • NPI 1982276747
  NPD
• Candace Green

  • Social Worker
  • Mapleton, UT
  • NPI 1629762232
  NPD

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1720748874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 S 1600 W STE 200",
            "city": "MAPLETON",
            "state": "UT",
            "postal_code": "846644349",
            "telephone_number": "385-448-0055",
            "fax_number": "801-797-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S 1600 W STE 200",
            "city": "MAPLETON",
            "state": "UT",
            "postal_code": "846644349",
            "telephone_number": "385-448-0055",
            "fax_number": "801-797-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE WOMENS HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "PICKERING",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-448-0055",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1720497597",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Keegan Taylor, PT
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• Brett W Thompson, BC-H.I.S.
• Whitney Hill Thompson, FNP-BC
• Dallin Hathaway Thueson, DDS

• Multi-Specialty Clinic/Center in Mapleton, UT
• Providers in Mapleton, UT by specialty
• Multi-Specialty Clinic/Center in Utah

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.