Organization Active NPI

Anew Therapy LLC

Doing business as Anew Therapy Utah

  • Psychiatric/Mental Health Nurse Practitioner
  • Midvale, UT
National Provider Identifier
1902648462
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ANEW THERAPY LLC
Doing business as
Anew Therapy Utah
Practice address
7455 S Union Park Ave Ste B
Midvale, UT 84047-1902
Phone
(801) 792-4758
NPI assigned
Jun 6, 2024
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Mr. Nathan Swensen, MBA
Title
President
Phone
(801) 792-4758

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Nurse Practitioner 363L00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

7455 S Union Park Ave Ste B
Midvale, UT 84047-1902

Mailing address

7455 S Union Park Ave Ste B
Midvale, UT 84047-1902
Phone (801) 792-4758

Other names 1

  • Anew Therapy Utah Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241227000162 UT Part B Supplier - Clinic/Group Practice 9931636206 Receives reassigned benefits from 2 practitioners
Practice locations: Sandy, UT

National Provider Directory

National Provider Directory

Locations

7455 S Union Park Ave
Ste B
Sandy, UT 84047
Phone (801) 280-2690

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1902648462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 S UNION PARK AVE STE B",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471902",
            "telephone_number": "801-792-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 S UNION PARK AVE STE B",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471902",
            "telephone_number": "801-792-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "SWENSEN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-792-4758",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anew Therapy Utah",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anew Therapy Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midvale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.