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TREEHOUSE PEDIATRICS & FAMILY CARE
NPI 1619553864
Pediatrics in Logan, UT

Active since March 18, 2021CLIA 46D2339590 · Waiver
1325 N 600 E STE 101, LOGAN, UT 84341(435) 213-3970(435) 355-3746 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2022, Mar 18, 2021 (2 updates tracked since 2021).

About Treehouse Pediatrics & Family Care NPPES

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

TREEHOUSE PEDIATRICS & FAMILY CARE (NPI 1619553864) is a healthcare organization registered as a pediatrics in Logan, Utah and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Miranda Overy Bryan, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1619553864
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTREEHOUSE ACORN PEDIATRICS & FAMILY CARE
Location Address1325 N 600 E STE 101Logan, UT 84341-6743
Mailing Address1325 N 600 E Ste 101Logan, UT 84341-6743 · (435) 213-3970 · Fax (435) 355-3746
Phone(435) 213-3970
Fax(435) 355-3746
Organization SubpartNo
Authorized OfficialMiranda Overy BryanPractice Manager · (435) 799-9101
Enumeration DateMarch 18, 2021
Last NPPES UpdateNovember 16, 20222 updates tracked since enumeration
NPPES CertifiedNovember 16, 2022
✔ NPI 1619553864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X
1325 N 600 E STE 101, Logan, UT 84341
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Other Names 1

Doing Business AsTreehouse Pediatrics & Family Care

Other Identifiers 1

Medicaid528112320001UT

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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 46D2339590

Treehouse Pediatrics & Family Care · Logan, UT
Active · expires Mar 3, 2028
CLIA Number46D2339590
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorBruce A. Overy
Laboratory Phone(435) 213-3970
Laboratory LocationTreehouse Pediatrics & Family Care1325 N 600 E, Suite 101, Logan, UT 84341
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 3

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

SARAH HOPE HORTON FNP
Nurse Practitioner (Family)
1325 N 600 E STE 101
LOGAN, UT 84341
Cache County (435) 213-3970
RUSSEL T MCKENNA DO
Pediatrics
1325 N 600 E STE 101
LOGAN, UT 84341
Cache County (435) 750-5599
CANYON MEDICAL GROUP
Pediatrics
1325 N 600 E STE 101
LOGAN, UT 84341
Cache County (435) 750-5599

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 Treehouse Acorn Pediatrics & Family Care's NPI number?

The NPI number for Treehouse Acorn Pediatrics & Family Care is 1619553864. It was assigned to this organization in the NPPES registry on March 18, 2021. The provider is doing business as Treehouse Pediatrics & Family Care.

Where is Treehouse Acorn Pediatrics & Family Care located?

Treehouse Acorn Pediatrics & Family Care is located at 1325 N 600 E Ste 101, Logan, UT 84341. The listed phone number is (435) 213-3970.

What is Treehouse Acorn Pediatrics & Family Care's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Treehouse Acorn Pediatrics & Family Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2339590) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Treehouse Acorn Pediatrics & Family Care accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Treehouse Acorn Pediatrics & Family Care 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 Treehouse Acorn Pediatrics & Family Care was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.