Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivy Lane Pediatrics, LLC

Organization Home Health Agency · NPI 1083635692

Ivy Lane Pediatrics, LLC is a Home Health Agency in South Ogden, Utah. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5974 Fashion Point Dr Ste 230
South Ogden, UT 84403-4805
Phone: (801) 774-9698
Fax: (801) 728-0641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X

Record details

NPI number1083635692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wyndam Reeve — Administrator · (801) 774-9698
NPI enumeratedJuly 21, 2006
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022
Mailing address5974 Fashion Point Dr Ste 230, South Ogden, UT 84403-4805

Other providers in South Ogden