Organization Active NPI

Root Solutions and Wellness

  • Physician Assistant
  • Lehi, UT
National Provider Identifier
1780401554
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
ROOT SOLUTIONS AND WELLNESS
Practice address
4161 N Thanksgiving Way Ste 204
Lehi, UT 84043-4063
Phone
(801) 592-7884
NPI assigned
Sep 24, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Tyson Wilcox, PA-CNPI 1194379040
Title
Owner
Phone
(801) 592-7884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20241015004664 UT Part B Supplier - Clinic/Group Practice 3072045079 Receives reassigned benefits from 1 practitioner
Practice locations: South Jordan, UT

National Provider Directory

National Provider Directory

Locations

4161 N Thanksgiving Way
Ste 204
Lehi, UT 84048
Phone (801) 592-7884

1218 W South Jordan Pkwy
Ste B
South Jordan, UT 84095
Phone (801) 592-7884

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4161 N Thanksgiving Way Ste 204
Lehi, UT 84043-4063

Mailing address

11593 S Douglas Vista Dr
Draper, UT 84020-1480
Phone (801) 592-7884

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2024.

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1780401554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11593 S DOUGLAS VISTA DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840201480",
            "telephone_number": "801-592-7884",
            "fax_number": "385-345-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 N THANKSGIVING WAY STE 204",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434063",
            "telephone_number": "801-592-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT SOLUTIONS AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-592-7884",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.