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BODY RENAISSANCE LLC
NPI 1417828971
Nurse Practitioner - Family in Payson, UT

Active since September 16, 2025
86 S MAIN ST, PAYSON, UT 84651(385) 501-1999(801) 206-3338 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Body Renaissance Llc NPPES

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

BODY RENAISSANCE LLC (NPI 1417828971) is a healthcare organization registered as a family in Payson, Utah and active in the NPI registry since September 2025. The organization lists Karl F Stemmler, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1417828971
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBODY RENAISSANCE LLC
Location Address86 S MAIN STPayson, UT 84651-2223
Mailing Address742 N 350 EGenola, UT 84655-8326 · (385) 510-5282 · Fax (801) 206-3338
Phone(385) 501-1999
Fax(801) 206-3338
Organization SubpartNo
Authorized OfficialKarl F StemmlerCredentialing Director · (619) 258-6200
Enumeration DateSeptember 16, 2025
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1417828971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
86 S MAIN ST, Payson, UT 84651
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Body Renaissance LLC's NPI number?

The NPI number for Body Renaissance LLC is 1417828971. It was assigned to this organization in the NPPES registry on September 16, 2025.

Where is Body Renaissance LLC located?

Body Renaissance LLC is located at 86 S Main St, Payson, UT 84651. The listed phone number is (385) 501-1999.

What is Body Renaissance LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Body Renaissance LLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.