NPIMap

Organization Active NPI

Beehive Comprehensive Clinic Inc.

  • Primary Care Clinic/Center
  • Riverton, UT
National Provider Identifier
1922622950
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BEEHIVE COMPREHENSIVE CLINIC INC.
Practice address
3409 W 12600 S Ste 230
Riverton, UT 84065-7270
Phone
(801) 252-6116
Fax
(801) 508-2787
NPI assigned
Jun 5, 2020
Last updated
Aug 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Dr. Heidi Vawdrey, DNP, APRN, FNP-CNPI 1184144594
Title
President/Ceo
Phone
(801) 252-6116

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3409 W 12600 S Ste 230
Riverton, UT 84065-7270

Mailing address

13890 S Lookout Peak Dr
Riverton, UT 84096-6440
Phone (801) 252-6116

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heidivawdrey@cuccu.allscriptsdirect.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200902002038 UT Part B Supplier - Clinic/Group Practice 8628495801 Receives reassigned benefits from 5 practitioners
Practice locations: Riverton, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2188382Beehive Comprehensive Clinic Inc3409 W 12600 S Suite 230, Riverton, UT 84065Certificate of waiverJul 15, 2028

National Provider Directory

National Provider Directory

Locations

3409 W 12600 S
Riverton, UT 84065
Phone (801) 561-1559

Interoperability endpoints

  • Direct secure messaging: heidivawdrey@cuccu.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 5

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": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1922622950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13890 S LOOKOUT PEAK DR",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840966440",
            "telephone_number": "801-252-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 W 12600 S STE 230",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657270",
            "telephone_number": "801-252-6116",
            "fax_number": "801-508-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEEHIVE COMPREHENSIVE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "VAWDREY",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "801-252-6116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heidivawdrey@cuccu.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3409 W 12600 S Ste 230",
            "city": "Riverton",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840657270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.