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CARSON WILLIAM PETTINGILL
NPI 1649085804
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Active since February 12, 2025
1516 S 1100 E STE A, SALT LAKE CITY, UT 84105(435) 287-4197 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carson William Pettingill NPPES

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

CARSON WILLIAM PETTINGILL (NPI 1649085804) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1649085804
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCARSON WILLIAM PETTINGILL
Location Address1516 S 1100 E STE ASalt Lake City, UT 84105-2577
Mailing Address2630 E Stringham Ave Apt A309Salt Lake City, UT 84109-4906 · (435) 319-9515
Phone(435) 287-4197
Sole ProprietorNo
Enumeration DateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1649085804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1516 S 1100 E STE A, Salt Lake City, UT 84105
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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.

PHOEBE GALVEZ
Social Worker (Clinical)
1516 S 1100 E STE A
SALT LAKE CITY, UT 84105
Salt Lake County (435) 287-4197
BROOKE LESLEY LCSW
Social Worker (Clinical)
1516 S 1100 E STE A
SALT LAKE CITY, UT 84105
Salt Lake County (801) 207-7988

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 Carson Pettingill's NPI number?

The NPI number for Carson Pettingill is 1649085804. It was assigned to this individual provider in the NPPES registry on February 12, 2025.

Where is Carson Pettingill located?

Carson Pettingill practices at 1516 S 1100 E Ste A, Salt Lake City, UT 84105. The listed phone number is (435) 287-4197.

What is Carson Pettingill's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Carson Pettingill was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.