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Rivendell Clinic LLC

NPI 1326745787ActiveOrganization· Clinic/Center· Provo, UT

Clinic/Center in Provo, Utah, registered in NPPES in February 2023. The authorized official on file is Sarah Ingerson, DNP, Dr.

Overview

NPI1326745787
StatusActive
Entity typeOrganization
NPI issuedFeb 15, 2023
Last updated in NPPESDec 3, 2025
Certified by providerDec 3, 2025

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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