Christus St. Joseph Villa

Primary specialty

Religious Nonmedical Health Care InstitutionTaxonomy code 282J00000X

Legal business name

CHRISTUS ST. JOSEPH VILLA

Practice address

451 Bishop Federal LN
Salt Lake City, UT 84115-2357

Phone

(801) 487-7557

Fax

(801) 487-1112

NPI assigned

Jun 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Simone Jasmin Hennig, LCSW

Title

LCSW

Phone

(801) 468-6856

Specialties & licenses 1

Addresses

Other names 1

• Christus Marian Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003010158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 BISHOP FEDERAL LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152357",
            "telephone_number": "801-487-7557",
            "fax_number": "801-487-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 BISHOP FEDERAL LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152357",
            "telephone_number": "801-487-7557",
            "fax_number": "801-487-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS ST. JOSEPH VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENNIG",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_middle_name": "JASMIN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "801-468-6856",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christus Marian Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gwendelyn Anne Christopherson
• Michael K Christopherson
• Tyler Tony Christopulos, PHD
• Christus Health Utah
• Christus Health Utah
• Tressa Lizbeth Chriswell
• Meisha Chromey
• Jinju Chun
• Tristan Eric Chun, MD
• Young K Chun, MD

• Religious Nonmedical Health Care Institution in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Religious Nonmedical Health Care Institution in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.