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MOUNTAIN MOMENTS
NPI 1306466636
Clinic/Center - Health Service in Park City, UT

Active since April 16, 2020
1154 CENTER DR STE D250, PARK CITY, UT 84098(206) 795-4360 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain Moments NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN MOMENTS (NPI 1306466636) is a healthcare organization registered as a health service in Park City, Utah and active in the NPI registry since April 2020. The organization lists Carly Brooks, Ceo/founder, as its authorized official.

NPPES Registry Identity

NPI1306466636
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMOUNTAIN MOMENTS
Location Address1154 CENTER DR STE D250Park City, UT 84098-1258
Mailing AddressPo Box 683745Park City, UT 84068-3745
Phone(206) 795-4360
Organization SubpartNo
Authorized OfficialCarly BrooksCeo/founder · (206) 795-4360
Enumeration DateApril 16, 2020
NPPES CertifiedApril 16, 2020
✔ NPI 1306466636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1154 CENTER DR STE D250, Park City, UT 84098
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD RAINVILLE
Physician Assistant
1154 CENTER DR STE D250
PARK CITY, UT 84098
Summit County (385) 246-5971
SARAH SUTIN
Health and Wellness Coach
1154 CENTER DR STE D250
PARK CITY, UT 84098
Summit County (385) 246-5971

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Moments's NPI number?

The NPI number for Mountain Moments is 1306466636. It was assigned to this organization in the NPPES registry on April 16, 2020.

Where is Mountain Moments located?

Mountain Moments is located at 1154 Center Dr Ste D250, Park City, UT 84098. The listed phone number is (206) 795-4360.

What is Mountain Moments's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Mountain Moments was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.