Organization Active NPI

Wasatch Midwifery and Wellness, LLC

  • Midwife
  • Holladay, UT
National Provider Identifier
1912430588
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
WASATCH MIDWIFERY AND WELLNESS, LLC
Practice address
6440 S Wasatch Blvd
Ste 140
Holladay, UT 84121
Phone
(385) 237-1568
Fax
(385) 557-5623
NPI assigned
Apr 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Adrienne Christina Brown, CPM, LDEMNPI 1386649309
Title
Owner, Midiwfe
Phone
(385) 237-1568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 1039762 UT
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 200580-8902 UT
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X 11111671 UT
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 176B00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X 200580-4402 UT

Addresses

Primary practice location

6440 S Wasatch Blvd
Ste 140
Holladay, UT 84121

Mailing address

6440 S Wasatch Blvd Ste 140
Holladay, UT 84121-3539
Phone (385) 237-1568

National Provider Directory

National Provider Directory

Locations

6440 S Wasatch Blvd
Ste 140
Holladay, UT 84121
Phone (385) 237-1568

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1912430588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 S WASATCH BLVD STE 140",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841213539",
            "telephone_number": "385-237-1568",
            "fax_number": "385-557-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 S WASATCH BLVD",
            "address_2": "STE 140",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "385-237-1568",
            "fax_number": "385-557-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH MIDWIFERY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER, MIDIWFE",
        "authorized_official_telephone_number": "385-237-1568",
        "authorized_official_credential": "CPM, LDEM"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "1039762",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "200580-8902",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "UT",
            "license": "11111671",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "200580-4402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.