The Child'S Alliance, LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

THE CHILD'S ALLIANCE, LLC

Practice address

1909 S 4250 W Ofc a
Salt Lake City, UT 84104-4837

Phone

(801) 675-8777

Fax

(801) 852-0325

NPI assigned

Nov 16, 2023

Organization subpart

No

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

Authorized official

Name

Nathanael Wesley Ridge, PH.D., PA-CNPI 1134424641

Title

Owner

Phone

(801) 448-8699

Specialties & licenses 3

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Nathanael W Ridge, PA, PHD

  • Medical Physician Assistant
  • Murray, UT
  • NPI 1134424641
  NPD Authorized official

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1780459016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11721 S SILVER SPUR LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840204515",
            "telephone_number": "801-462-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 S 4250 W OFC A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841044837",
            "telephone_number": "801-675-8777",
            "fax_number": "801-852-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILD'S ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "RIDGE",
        "authorized_official_first_name": "NATHANAEL",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-448-8699",
        "authorized_official_credential": "PH.D., PA-C"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOPL",
            "identifier": "6833666-2501",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOPL",
            "identifier": "6833666-1206",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1134424641",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOPL",
            "identifier": "6833666-8906",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.