Summit Clinical Services of Utah LLC
NPI 1356744791ActiveOrganization· Nurse Practitioner, Family· West Jordan, UT
Nurse Practitioner, Family in West Jordan, Utah, registered in NPPES in September 2014. The authorized official on file is Chris C. Hakes, LCSW, Owner.
Overview
| NPI | 1356744791 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2014 |
| Last updated in NPPES | Feb 26, 2021 |
| Certified by provider | Feb 26, 2021 |
| Reactivated | Feb 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 5244527-4405 | UT |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 364873-4405 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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