Essential Injections P.C.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

6223314-4405 Issued in UT

Legal business name

ESSENTIAL INJECTIONS P.C.

Practice address

4612 N Independence Way
Eagle Mountain, UT 84005-6082

Phone

(385) 455-3899

NPI assigned

Mar 13, 2018

Last updated

Mar 13, 2018By 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

Mr. Shad W. Tillotson, NP

Title

Ceo

Phone

(385) 455-3899

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1760985089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 N INDEPENDENCE WAY",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840056082",
            "telephone_number": "385-455-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 N INDEPENDENCE WAY",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840056082",
            "telephone_number": "385-455-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL INJECTIONS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "TILLOTSON",
        "authorized_official_first_name": "SHAD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "385-455-3899",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "6223314-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie J Elhalta
• Carol Lynn Ellis
• Steven Len Embley, D.O.
• Arlene Erickson, MS-CCC-SLP
• Dacya Erickson
• Ryan Fairhurst, SSW
• Tyson Ray Fernstrom, DPT
• Skyler D Fischer, MSW
• Camrie Lynn Fletcher, M.S. CCC-SLP
• Jacob Chase Fowler, PHARMD

• Nurse Practitioner in Eagle Mountain, UT
• Providers in Eagle Mountain, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.