Active NPI
Lakeview Professional Billing LLC
- Cardiovascular Disease Physician
- Bountiful, UT
National Provider Identifier
1972674232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 1686031205
- Legal business name
- LAKEVIEW PROFESSIONAL BILLING LLC
- Practice address
- 630 E Medical Dr
Bountiful, UT 84010 - Phone
- (801) 299-2165
- Fax
- (801) 299-7811
- NPI assigned
- Nov 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shanae D Perez
- Title
- Billing Supervisor
- Phone
- (801) 299-2165
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1497971205 | UT | |
| Internal Medicine Physician | 207R00000X | 1554671205 | UT | |
| Internal Medicine Physician | 207R00000X | 1622661205 | UT | |
| Internal Medicine Physician | 207R00000X | 1551991205 | UT | |
| Cardiovascular Disease Physician | 207RC0000X | 27742911205 | UT | |
| Cardiovascular Disease Physician | 207RC0000X | 1686031205 | UT | Primary |
| Pulmonary Disease Physician | 207RP1001X | 1674321205 | UT |
Addresses
Primary practice location
630 E Medical Dr
Bountiful, UT 84010
Mailing address
PO Box 639
Bountiful, UT 84011-0639
Phone (801) 299-2145
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52856630402001 | Medicaid | UT | |
| 044424281001 | Medicaid | UT | |
| 528443301001 | Medicaid | UT | |
| 566476556001 | Medicaid | UT | |
| 528763507002 | Medicaid | UT |
Other names 1
- Hospital Corporation of Utah
National Provider Directory
National Provider Directory- Tax ID family
- Hospital Corporation of Utah
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pulmonary Function Technologist
- Bountiful, UT
- NPI 1437209186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1972674232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840110639",
"telephone_number": "801-299-2145",
"fax_number": "801-299-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E MEDICAL DR",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "84010",
"telephone_number": "801-299-2165",
"fax_number": "801-299-7811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVIEW PROFESSIONAL BILLING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "SHANAE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "801-299-2165",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "UT",
"license": "1497971205",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "UT",
"license": "1554671205",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "UT",
"license": "1622661205",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "UT",
"license": "1551991205",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "UT",
"license": "27742911205",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "UT",
"license": "1686031205",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "UT",
"license": "1674321205",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52856630402001",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044424281001",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528443301001",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "566476556001",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528763507002",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospital Corporation of Utah",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.