Pure Infusion of Utah LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PURE INFUSION OF UTAH LLC

Practice address

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

Phone

(385) 276-3945

NPI assigned

Mar 4, 2026

Last updated

Mar 4, 2026By the provider in NPPES

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

VP of Payer Development

Phone

(801) 590-9267

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 15

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.

• Jonathan M Baugh, D.O.

  • Emergency Medicine Physician
  • St George, UT
  • NPI 1578882759
  Medicare reassignment NPD (past)
• Belinda Brokke

  • Acute Care Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1750768842
  Medicare reassignment NPD (past)
• Courtney Marie Gormus, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • South Jordan, UT
  • NPI 1518585025
  NPD (past)
• Alaina A Miller, FNP

  • Family Nurse Practitioner
  • Provo, UT
  • NPI 1376238717
  NPD (past)
• Suzanne Marie Strasters, APRN

  • Nurse Practitioner
  • Riverton, UT
  • NPI 1689321275
  NPD (past)
• Timothy J Burns, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1245277243
  NPD (past)
• Jenifer Lynn Clark, FNP

  • Family Nurse Practitioner
  • Queen Creek, AZ
  • NPI 1841703287
  NPD (past)
• Deborah Requa Davis, ARNP

  • Family Nurse Practitioner
  • Prescott Valley, AZ
  • NPI 1235120445
  NPD (past)
• Marci Lynn Hageman, FNP

  • Family Nurse Practitioner
  • Buckeye, AZ
  • NPI 1861071532
  NPD (past)
• Adam Scott Leon, FNP

  • Nurse Practitioner
  • Glendale, AZ
  • NPI 1205361078
  NPD (past)
• Gina Montano, A.G.N.P.-C

  • Adult Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1902276124
  NPD (past)
• Heidi Marie Nida-Huff, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1669087599
  NPD (past)

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1902751852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W TOWNE RIDGE PKWY STE 500",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705531",
            "telephone_number": "801-590-9267"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2156 N Hill Field Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840414780",
            "country_code": "US",
            "telephone_number": "888-209-8874",
            "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",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1543 W 12600 S Ste 101",
            "address_purpose": "LOCATION",
            "city": "Riverton",
            "state": "UT",
            "postal_code": "840657176",
            "country_code": "US",
            "telephone_number": "888-209-8874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1492 W Antelope Dr Ste 211",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840411158",
            "country_code": "US",
            "telephone_number": "385-382-1440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE INFUSION OF UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "VP OF PAYER DEVELOPMENT",
        "authorized_official_telephone_number": "801-590-9267"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Renee Proctor, MS, CCC-SLP
• Taylor Prows
• Kendall Pry
• Aidan Pugmire
• Pure Healthcare of Utah, LLC
• Tali Puriri
• Moriah Putnam
• Ariel Pyne
• Ashley Pyne
• Shimmer Pyper

• 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 Mar 4, 2026; 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.