Active NPI
MVH Professional Services LLC
- Diabetes Educator Registered Nurse
- Payson, UT
National Provider Identifier
1841568052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- Legal business name
- MVH PROFESSIONAL SERVICES LLC
- Practice address
- 1000 E 100 N
Payson, UT 84651-1600 - Phone
- (801) 465-7045
- NPI assigned
- Dec 2, 2011
- Last updated
- Aug 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyle Brostrom
- Title
- Director
- Phone
- (801) 465-7045
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | Primary | ||
| Wound Care Registered Nurse | 163WW0000X |
Addresses
Primary practice location
1000 E 100 N
Payson, UT 84651-1600
Mailing address
2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Mountain View Hospital
- General Acute Care Hospital
- Payson, UT
- NPI 1487607669
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693267200000",
"number": "1841568052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HEALTH PARK DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274692",
"telephone_number": "615-373-7406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 100 N",
"city": "PAYSON",
"state": "UT",
"postal_code": "846511600",
"telephone_number": "801-465-7045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MVH PROFESSIONAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-02",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A",
"authorized_official_last_name": "BROSTROM",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "801-465-7045"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Payson, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.