Healthcare Provider Details

I. General information

NPI: 1649181157
Provider Name (Legal Business Name): LINDSEY BALLARD EMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSEY ANDREWS

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 S 3200 W UNIT 1031
WEST JORDAN UT
84084-6636
US

IV. Provider business mailing address

PO BOX 1200
PLEASANT GROVE UT
84062-1200
US

V. Phone/Fax

Practice location:
  • Phone: 385-355-4879
  • Fax:
Mailing address:
  • Phone: 385-484-8109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number2026003832
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: