Individual provider Active NPI

Hilary Verson, RN MS FNP

  • Licensed Practical Nurse
  • SLC, UT
National Provider Identifier
1003119819
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
212581-4405 Issued in UT
Practice address
455 East South Temple
#202
SLC, UT 84111-1325
Phone
(801) 355-9951
Fax
(801) 355-9968
NPI assigned
Dec 16, 2010
Last updated
Dec 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 212581-4405 UT Primary

Addresses

Primary practice location

455 East South Temple
#202
SLC, UT 84111-1325

Mailing address

455 East South Temple
#202
SLC, UT 84111-1325
Phone (801) 355-9951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
212581-4405UTMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hannele Laine, MD, PC Past Accepting new patients
Mary K. Beard MD Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1003119819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 EAST SOUTH TEMPLE",
            "address_2": "#202",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841111325",
            "telephone_number": "801-355-9951",
            "fax_number": "801-355-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 EAST SOUTH TEMPLE",
            "address_2": "#202",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841111325",
            "telephone_number": "801-355-9951",
            "fax_number": "801-355-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSON",
        "first_name": "HILARY",
        "credential": "RN MS FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "UT",
            "license": "212581-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in SLC, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.