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SUMMIT CLINICAL SERVICES OF UTAH LLC
NPI 1356744791
Nurse Practitioner - Family in West Jordan, UT

Active since September 30, 2014CLIA 46D2106026 · Waiver
1561 W 7000 S STE 200, WEST JORDAN, UT 84084(801) 263-0717(801) 266-2362 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2021, Oct 15, 2018 (2 updates tracked since 2018).

About Summit Clinical Services Of Utah Llc NPPES

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

SUMMIT CLINICAL SERVICES OF UTAH LLC (NPI 1356744791) is a healthcare organization registered as a family in West Jordan, Utah and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Chris C Hakes, Owner, as its authorized official.

NPPES Registry Identity

NPI1356744791
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSUMMIT CLINICAL SERVICES OF UTAH LLC
Location Address1561 W 7000 S STE 200West Jordan, UT 84084-3556
Mailing Address1561 W 7000 S Ste 200West Jordan, UT 84084-3556 · (801) 263-0717 · Fax (801) 266-2362
Phone(801) 263-0717
Fax(801) 266-2362
Organization SubpartNo
Authorized OfficialChris C HakesOwner · (801) 414-3252
Enumeration DateSeptember 30, 2014
Last NPPES UpdateFebruary 26, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
✔ NPI 1356744791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 5244527-4405
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 364873-4405 (UT)
1561 W 7000 S STE 200, West Jordan, UT 84084
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2106026

Summit Clinical Services · West Jordan, UT
Active · expires Dec 7, 2027
CLIA Number46D2106026
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorAustin P. Francom
Laboratory Phone(801) 263-0717
Laboratory LocationSummit Clinical Services1561 W 7000 S, West Jordan, UT 84084
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

FAITH DANIELLE VON DWINGELO
Student in an Organized Health Care Education/Training Program
1561 W 7000 S STE 200
WEST JORDAN, UT 84084
Salt Lake County (801) 990-4300
LONDON BERTOCH
Counselor (Mental Health)
1561 W 7000 S STE 200
WEST JORDAN, UT 84084
Salt Lake County (801) 990-4300
JANELLE L WATTS
Student in an Organized Health Care Education/Training Program
1561 W 7000 S STE 200
WEST JORDAN, UT 84084
Salt Lake County (801) 990-4300
JESSICA MIYAZAKI
Student in an Organized Health Care Education/Training Program
1561 W 7000 S STE 200
WEST JORDAN, UT 84084
Salt Lake County (801) 990-4300
KATERI N RICHINS ACMHC
Counselor (Mental Health)
1561 W 7000 S STE 200
WEST JORDAN, UT 84084
Salt Lake County (801) 990-4300
NATHAN WILEY DNP, APRN, FNP-C
Nurse Practitioner (Family)
1561 W 7000 S STE 200
WEST JORDAN, UT 84084
Salt Lake County (801) 263-0717
TAYLOR MARIE JAMES HODGES
Social Worker (Clinical)
1561 W 7000 S STE 200
WEST JORDAN, UT 84084
Salt Lake County (801) 990-4300
JONI BARLOW
Student in an Organized Health Care Education/Training Program
1561 W 7000 S STE 200
WEST JORDAN, UT 84084
Salt Lake County (801) 990-4300

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 Summit Clinical Services Of Utah LLC's NPI number?

The NPI number for Summit Clinical Services Of Utah LLC is 1356744791. It was assigned to this organization in the NPPES registry on September 30, 2014.

Where is Summit Clinical Services Of Utah LLC located?

Summit Clinical Services Of Utah LLC is located at 1561 W 7000 S Ste 200, West Jordan, UT 84084. The listed phone number is (801) 263-0717.

What is Summit Clinical Services Of Utah LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Summit Clinical Services Of Utah LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2106026) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Summit Clinical Services Of Utah LLC accept?

Health plans from Molina Healthcare list Summit Clinical Services Of Utah LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Summit Clinical Services Of Utah LLC was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.