NPI 1912939786 · live from the CMS NPI Registry
Alpine Pediatrics, PC
Pediatrics in Pleasant Grove, UT. National Provider Identifier 1912939786, active.
NPI record
| NPI | 1912939786 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 1912 W 930 N, Pleasant Grove, UT 84062 |
| Practice phone | 801-492-1999 |
| Enumerated | July 6, 2006 |
| Last updated | March 30, 2021 |
| Authorized official | Jason Jaussi, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | — |
| Nurse Practitioner | 363L00000X | — |
| Psychologist | 103T00000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | — |
| Pediatrics primary | 208000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.