Pure Healthcare of Utah, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PURE HEALTHCARE OF UTAH, LLC

Practice address

4179 S Riverboat Rd Ste 170
Taylorsville, UT 84123-2702

Phone

(385) 276-3945

Fax

(801) 852-0999

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Rachel Fraga

Title

Contracting Manager

Phone

(801) 921-6325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 3

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

• Belinda Brokke

  • Acute Care Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1750768842
  Medicare reassignment Care Compare group NPD
• John Engh Storheim Jr., D.O.

  • Anesthesiology Physician
  • Grand Junction, CO
  • NPI 1699744367

  UT

  Medicare reassignment Care Compare group NPD
• Jonathan M Baugh, D.O.

  • Emergency Medicine Physician
  • St George, UT
  • NPI 1578882759
  Medicare reassignment NPD

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1831782994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 S RIVERBOAT RD STE 220",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232986",
            "telephone_number": "801-755-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 S RIVERBOAT RD STE 170",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232702",
            "telephone_number": "385-276-3945",
            "fax_number": "801-852-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "437 S Bluff St Ste 201",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847703555",
            "country_code": "US",
            "telephone_number": "435-523-4040",
            "fax_number": "435-359-5218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "947 S 500 E Ste 302",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840033370",
            "country_code": "US",
            "telephone_number": "801-921-6530",
            "fax_number": "801-772-9874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1492 W Antelope Dr Ste 211",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840411139",
            "country_code": "US",
            "telephone_number": "385-382-1440",
            "fax_number": "801-991-3306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE HEALTHCARE OF UTAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CONTRACTING MANAGER",
        "authorized_official_telephone_number": "801-921-6325"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Proctor, D.C.
• Michelle Renee Proctor, MS, CCC-SLP
• Taylor Prows
• Kendall Pry
• Aidan Pugmire
• Pure Infusion of Utah LLC
• Tali Puriri
• Moriah Putnam
• Ariel Pyne
• Ashley Pyne

• Multi-Specialty Clinic/Center in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Multi-Specialty Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.