Active NPI
James Ross Reichelt, RN, SSW
- Psychiatric/Mental Health Registered Nurse
- Salt Lake City, UT
National Provider Identifier
1841260429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 134907-3102
- Practice address
- 4460 Highland Dr
Suite 300
Salt Lake City, UT 84124-3543 - Phone
- (801) 273-6356
- Fax
- (801) 273-6363
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 134907-3102 | UT | Primary |
Addresses
Primary practice location
4460 Highland Dr
Suite 300
Salt Lake City, UT 84124-3543
Mailing address
4255 Fortuna Way
Salt Lake City, UT 84124-3349
Phone (801) 274-2675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107030194101 | Other | UT | INTERMTN. HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134907-3102 | UT | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1841260429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4255 FORTUNA WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841243349",
"telephone_number": "801-274-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 HIGHLAND DR",
"address_2": "SUITE 300",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841243543",
"telephone_number": "801-273-6356",
"fax_number": "801-273-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHELT",
"first_name": "JAMES",
"middle_name": "ROSS",
"credential": "RN, SSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "UT",
"license": "134907-3102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERMTN. HEALTH CARE",
"identifier": "107030194101",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.