1. Home
  2. Directory
  3. Utah
  4. Sandy
  5. Registered Nurse
  6. NPI Profile

INNOVATIVE MEDICINE LLC
NPI 1881369510
Registered Nurse - General Practice in Sandy, UT

Active since August 13, 2021
850 E 9400 S STE 101, SANDY, UT 84094(385) 449-0565 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innovative Medicine Llc NPPES

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

INNOVATIVE MEDICINE LLC (NPI 1881369510) is a healthcare organization registered as a general practice in Sandy, Utah and active in the NPI registry since August 2021. The organization lists William Beesley, Partner, as its authorized official.

NPPES Registry Identity

NPI1881369510
Entity TypeOrganization
Primary Taxonomy163WG0000X
Legal Business NameINNOVATIVE MEDICINE LLC
Location Address850 E 9400 S STE 101Sandy, UT 84094-4114
Mailing Address850 E 9400 S Ste 101Sandy, UT 84094-4114 · (385) 449-0565
Phone(385) 449-0565
Organization SubpartNo
Authorized OfficialWilliam BeesleyPartner · (385) 449-0565
Enumeration DateAugust 13, 2021
NPPES CertifiedAugust 13, 2021
✔ NPI 1881369510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
850 E 9400 S STE 101, Sandy, UT 84094
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 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.

EMILY KAY DETTENMAIER
Nurse Practitioner (Family)
850 E 9400 S STE 101
SANDY, UT 84094
Salt Lake County (385) 449-0565
RESTORATIVE HEALTH PRIMARY CARE
Clinic/Center (Multi-Specialty)
850 E 9400 S STE 101
SANDY, UT 84094
Salt Lake County (385) 449-0565

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 Innovative Medicine LLC's NPI number?

The NPI number for Innovative Medicine LLC is 1881369510. It was assigned to this organization in the NPPES registry on August 13, 2021.

Where is Innovative Medicine LLC located?

Innovative Medicine LLC is located at 850 E 9400 S Ste 101, Sandy, UT 84094. The listed phone number is (385) 449-0565.

What is Innovative Medicine LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Innovative Medicine LLC was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.