Summit Wellness Institute LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUMMIT WELLNESS INSTITUTE LLC

Doing business as

Summit Brain and Spine

Practice address

3000 N Triumph Blvd Ste 330
Lehi, UT 84043-4999

Phone

(385) 345-3560

Fax

(877) 331-0467

NPI assigned

Apr 6, 2022

Last updated

Apr 6, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMIT BRAIN AND SPINE PCAs reported in NPPES

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

Authorized official

Name

Jen Fairbanks

Title

Manager

Phone

(385) 345-3560

Specialties & licenses 1

Addresses

Other names 1

• Summit Brain and Spine Doing business as

Part of

Summit Brain and Spine PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Summit Brain and Spine PC

  • Neurological Surgery Physician
  • Lehi, UT
  • NPI 1962045096
  NPPES parent name

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1891436432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N TRIUMPH BLVD STE 330",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434999",
            "telephone_number": "385-345-3560",
            "fax_number": "877-331-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N TRIUMPH BLVD STE 330",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434999",
            "telephone_number": "385-345-3560",
            "fax_number": "877-331-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT WELLNESS INSTITUTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT BRAIN AND SPINE PC",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "FAIRBANKS",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "385-345-3560"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Brain and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stonehaven Dental, LLC
• Allora Stratford, ACMHC
• Joshua D Streeter, DNP, AGNP-C
• Summit Brain and Spine PC
• Summit Foot and Ankle Specialists
• Summit Wellness Solutions (Wild Hearts Therapy Collective)
• Georgia Sundahl, RBT
• Sunrise Labs, LLC
• Susan Middleton PHD LCSW Consulting
• Megan Svedin, CSW

• Internal Medicine Physician in Lehi, UT
• Providers in Lehi, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.