SUNRISE FAMILY PRACTICE LLC (NPI# 1386135762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386135762 |
| Entity Type | Organization |
| Organization Name | SUNRISE FAMILY PRACTICE LLC |
| Practice Address |
8785 S Jordan Valley Way # 100 West Jordan UT 84088-9772 |
| Practice Telephone | 3856457474 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2019-02-14 |
| Authorized Official Name | JOLOLENE ALLAN (OWNER) |
| Authorized Official Telephone | 3856457474 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
211972-4405 | UT | Ambulatory Health Care Facilities |
| Street Address |
8785 S JORDAN VALLEY WAY # 100 |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088-9772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316017627 | Jololene Allan | Nurse Practitioner | 8785 S Jordan Valley Way # 100, West Jordan, UT 84088-9772 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
| 1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
| 1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
| 1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
| Find all providers in zip 84088 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1730507161 | Direct Care Medical Home Clinic LLC | Clinic/Center | 7611 S Jordan Landing Blvd Ste 200, West Jordan, UT 84084-5612 | 2014-04-02 |
| 1881235992 | Stat-md II | Clinic/Center | 7724 S 5600 W Ste 102, West Jordan, UT 84081-5415 | 2019-10-01 |
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| 1164066015 | Sterling Provider Group | Clinic/Center | 700 S Highway 91, Richmond, UT 84333-1209 | 2019-11-04 |
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| 1174006605 | Bristol Palliative Care Services, L.L.C. | Clinic/Center | 3216 S Highland Dr Ste 100, Salt Lake City, UT 84106-4196 | 2018-09-11 |
| 1932640752 | Indiemed LLC | Clinic/Center | 25 N 2000 W Ste 3, Hurricane, UT 84737-4115 | 2017-03-13 |
| 1649719063 | Sara Arrington, A.p.r.n., P.l.l.c | Clinic/Center | 3110 W 300 N Ste A, West Point, UT 84015-7481 | 2017-02-17 |
| 1346789872 | Integrated Medical Services | Clinic/Center | 630 S 400 E, 101, St George, UT 84770-3765 | 2017-02-16 |
| Find all providers with the same taxonomy | ||||
| City | WEST JORDAN |
| Zip Code | 84088 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.