Healthcare Provider Details

I. General information

NPI: 1053223982
Provider Name (Legal Business Name): SARAH RAMSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 E 4500 S STE N160
SALT LAKE CITY UT
84107-3617
US

IV. Provider business mailing address

11263 S LAKE RUN RD
SOUTH JORDAN UT
84009-8738
US

V. Phone/Fax

Practice location:
  • Phone: 801-281-1100
  • Fax:
Mailing address:
  • Phone: 918-519-3527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: