Intermountain Pediatric Clinic

Primary specialty

Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X

License

19920633 Issued in UT

Legal business name

INTERMOUNTAIN PEDIATRIC CLINIC

Practice address

508 E South Temple
Suite 310
Salt Lake City, UT 84102-1013

Phone

(801) 355-4316

Fax

(801) 355-6267

NPI assigned

May 21, 2007

Organization subpart

No

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

• Alan N Lindsay, M.D.

  • Pediatric Endocrinology Physician
  • Salt Lake City, UT
  • NPI 1538281050
  NPD (past)
• Kathleen K Lindsay, APRN, CPNP

  • Pediatric Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1073840963
  NPD (past)

Locations

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

Authorized official

Name

Ms. Susan Harris

Title

Office Manager

Phone

(801) 355-4316

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740499433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 E SOUTH TEMPLE",
            "address_2": "SUITE 310",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021013",
            "telephone_number": "801-355-4316",
            "fax_number": "801-355-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 E SOUTH TEMPLE",
            "address_2": "SUITE 310",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021013",
            "telephone_number": "801-355-4316",
            "fax_number": "801-355-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-355-4316",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "UT",
            "license": "19920633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intermountain Healthcare
• Intermountain Healthcare
• Intermountain Healthcare
• Intermountain Hospitalists PC
• Intermountain Pain Center
• Intermountain Pediatric Dialysis
• Intermountain Spine Partners
• Intermountain Stroke Center, Inc.
• Intermountian Lipid Center
• Internal Med- Cardiology Advanced Heart Failure- Department of Unive

• All providers in Salt Lake City, UT
• Pediatric Hospice and Palliative Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.