Second Nature Entrada

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

17943 Issued in UT

Legal business name

SECOND NATURE ENTRADA

Practice address

2711 Santa Clara Dr Ste 400
Santa Clara, UT 84765-5480

Phone

(435) 674-9310

NPI assigned

Jun 2, 2008

Last updated

May 29, 2012By 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

Angie Evans

Title

Business Office

Phone

(801) 766-6604

Specialties & licenses 2

Addresses

Tax ID family

Evoke at Entrada3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Second Nature Entrada

  dba Evoke at Entrada

  • Clinical Social Worker
  • Santa Clara, UT
  • NPI 1326403379
  NPD tax ID
• Second Nature Entrada LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Santa Clara, UT
  • NPI 1063692804
  NPD tax ID

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1952569352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 SANTA CLARA DR STE 400",
            "city": "SANTA CLARA",
            "state": "UT",
            "postal_code": "847655480",
            "telephone_number": "435-674-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 SANTA CLARA DR STE 400",
            "city": "SANTA CLARA",
            "state": "UT",
            "postal_code": "847655480",
            "telephone_number": "435-674-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND NATURE ENTRADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "801-766-6604"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "17943",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "17943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laney Robinson
• Anthony Joseph Salerno III, MS, ACMHC, NCC
• Esmeralda Santos
• Allison Scholes
• Second Nature Entrada (Evoke at Entrada)
• Second Nature Entrada LLC
• Shift Health Technologies LLC (Shift Health)
• Thomas William Sigrist, D.D.S.
• Snow Canyon Chiropractic PLLC
• Travis Snow, PHARMD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Santa Clara, UT
• Providers in Santa Clara, UT by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.