Active NPI
Mobile Infection Detection
- Primary Care Clinic/Center
- Fruit Heights, UT
National Provider Identifier
1730846189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MOBILE INFECTION DETECTION
- Practice address
- 568 Cherry LN
Fruit Heights, UT 84037-2774 - Phone
- (801) 859-5558
- NPI assigned
- Nov 19, 2021
- Last updated
- Feb 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Ann Miller, NP-C
- Title
- Family Nurse Practitioner
- Phone
- (801) 859-5558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
568 Cherry LN
Fruit Heights, UT 84037-2774
Mailing address
568 Cherry LN
Fruit Heights, UT 84037-2774
Other names 1
- Mobile Infection Detection
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643846400000",
"number": "1730846189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "568 CHERRY LN",
"city": "FRUIT HEIGHTS",
"state": "UT",
"postal_code": "840372774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "568 CHERRY LN",
"city": "FRUIT HEIGHTS",
"state": "UT",
"postal_code": "840372774",
"telephone_number": "801-859-5558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE INFECTION DETECTION",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-19",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "801-859-5558",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mobile Infection Detection",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fruit Heights, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.