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NUTRIX UTAH PC
NPI 1396689998
Nurse Practitioner - Psychiatric/Mental Health in Herriman, UT

Active since April 15, 2026
6621 W WIDE HOLLOW DR, HERRIMAN, UT 84096(801) 425-2831 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nutrix Utah Pc NPPES

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

NUTRIX UTAH PC (NPI 1396689998) is a healthcare organization registered as a psychiatric/mental health in Herriman, Utah and active in the NPI registry since April 2026. The organization lists Jesse Goodman, President, as its authorized official.

NPPES Registry Identity

NPI1396689998
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNUTRIX UTAH PC
Location Address6621 W WIDE HOLLOW DRHerriman, UT 84096-3550
Mailing Address6621 W Wide Hollow DrHerriman, UT 84096-3550
Phone(801) 425-2831
Organization SubpartNo
Authorized OfficialJesse GoodmanPresident · (801) 425-2831
Enumeration DateApril 15, 2026
NPPES CertifiedApril 15, 2026
✔ NPI 1396689998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
6621 W WIDE HOLLOW DR, Herriman, UT 84096
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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 SINGLE SPECIALTY GROUP

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.

NUTRIX UTAH PC
Nurse Practitioner (Psychiatric/Mental Health)
6621 W WIDE HOLLOW DR
HERRIMAN, UT 84096
Salt Lake County (801) 425-2831
MOUNTAIN VALLEY INTEGRATIVE SERVICES
Psychiatry & Neurology (Addiction Medicine)
6621 W WIDE HOLLOW DR
HERRIMAN, UT 84096
Salt Lake County (949) 688-3903

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 Nutrix Utah PC's NPI number?

The NPI number for Nutrix Utah PC is 1396689998. It was assigned to this organization in the NPPES registry on April 15, 2026.

Where is Nutrix Utah PC located?

Nutrix Utah PC is located at 6621 W Wide Hollow Dr, Herriman, UT 84096. The listed phone number is (801) 425-2831.

What is Nutrix Utah PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Nutrix Utah PC was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.