Sundara Medical LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SUNDARA MEDICAL LLC

Doing business as

Sundara MHS

Practice address

14629 S Porter Rockwell Blvd
Bluffdale, UT 84065

Phone

(801) 410-1100

Fax

(801) 332-9577

NPI assigned

Jul 10, 2024

Last updated

May 28, 2025By 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

Tamara Broadhead, DNPNPI 1124548789

Title

DNP

Phone

(801) 410-1100

Specialties & licenses 2

Addresses

Other names 1

• Sundara MHS Doing business as

Locations

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.

• Tamara Lynn Broadhead, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • South Jordan, UT
  • NPI 1124548789

  Family

  NPD (past) Authorized official
• Jenny Lynn Giberson

  • Psychiatric/Mental Health Nurse Practitioner
  • Bluffdale, UT
  • NPI 1619832904
  NPD (past)
• Justin Thomas Hewlett, PA-C

  • Physician Assistant
  • Bluffdale, UT
  • NPI 1467934737
  NPD (past)
• Emily Routson, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Cottonwood Heights, UT
  • NPI 1669085395

  Family

  NPD (past)

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1720825573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14629 S PORTER ROCKWELL BLVD",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "84065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14629 S PORTER ROCKWELL BLVD",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "84065",
            "telephone_number": "801-410-1100",
            "fax_number": "801-332-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDARA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "BROADHEAD",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "DNP",
        "authorized_official_telephone_number": "801-410-1100",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundara MHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Bluffdale, UT
• Providers in Bluffdale, 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 May 28, 2025; 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.