NPIMap

Organization Active NPI

Traverse Mountain Joint Pain and Spine Specialist LLC

  • Nurse Practitioner
  • Lehi, UT
National Provider Identifier
1982539052
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
TRAVERSE MOUNTAIN JOINT PAIN AND SPINE SPECIALIST LLC
Practice address
3051 W Maple Loop Dr Ste 125
Lehi, UT 84048-5620
Phone
(801) 830-0017
NPI assigned
Jun 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Marissa Dufur, APRNNPI 1558040675
Title
Owner/Provider
Phone
(801) 830-0017

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
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

3051 W Maple Loop Dr Ste 125
Lehi, UT 84048-5620

Mailing address

1463 N 950 W
Lehi, UT 84043-1099
Phone (801) 830-0017

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1982539052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 N 950 W",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840431099",
            "telephone_number": "801-830-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 W MAPLE LOOP DR STE 125",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840485620",
            "telephone_number": "801-830-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVERSE MOUNTAIN JOINT PAIN AND SPINE SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "DUFUR",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "801-830-0017",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.