Active NPI
Just the Right Age
- Adult Medicine Physician
- Midvale, UT
National Provider Identifier
1992310593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- JUST THE RIGHT AGE
- Practice address
- 7535 S Union Park Ave
Midvale, UT 84047-3043 - Phone
- (801) 564-7091
- Fax
- (877) 595-1086
- NPI assigned
- Sep 10, 2020
- Organization subpart
- Yes
- Parent organization
- JUST THE RIGHT CURVES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald R. Hastie, BC-FNP
- Title
- Manager
- Phone
- (801) 564-7091
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
7535 S Union Park Ave
Midvale, UT 84047-3043
Mailing address
7535 S Union Park Ave
Midvale, UT 84047-3043
Phone (801) 564-7091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204722-4405 | Other | UT | UTAH DEPARTMENT OF PROFESSIONAL LICENSING |
Other names 1
- Just the Right Age
National Provider Directory
National Provider Directory- Part of
- Just the Right Age
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- West Jordan, UT
- NPI 1619900339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599696000000",
"number": "1992310593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7535 S UNION PARK AVE",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840473043",
"telephone_number": "801-564-7091",
"fax_number": "877-595-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7535 S UNION PARK AVE",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840473043",
"telephone_number": "801-564-7091",
"fax_number": "877-595-1086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUST THE RIGHT AGE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JUST THE RIGHT CURVES",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A",
"authorized_official_last_name": "HASTIE",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "801-564-7091",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BC-FNP"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTAH DEPARTMENT OF PROFESSIONAL LICENSING",
"identifier": "204722-4405",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Just the Right Age",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.