Individual provider Active NPI

Lisa Marie Hanson, NP

  • Family Nurse Practitioner
  • Sandy, UT
National Provider Identifier
1003530429
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08220993 Issued in UT
Practice address
10965 S State St Ste 115
Sandy, UT 84070-4270
Phone
(840) 708-0188
Fax
(801) 438-6360
NPI assigned
Sep 29, 2022
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 5984518-4405 UT
Family Nurse Practitioner 363LF0000X F08220993 UT Primary

Addresses

Primary practice location

10965 S State St Ste 115
Sandy, UT 84070-4270

Mailing address

10965 S State St Ste 115
Sandy, UT 84070-4270
Phone (801) 886-6104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230118000976 UT Practitioner - Nurse Practitioner 4587035167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

348 E 4500
Suite 220
Murray, UT 84107-8524
Phone (801) 577-7055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5984518-4405UTMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Option Care Infusion Suites, LLC CurrentSince Oct 6, 2023 Accepting new patients
Option Care Infusion Suites, LLC CurrentSince Oct 6, 2023 Accepting new patients
Option Care Infusion Suites, LLC Past Accepting new patients

Locations

1112 E 300 N
Ste 202
American Fork, UT 84003
Phone (801) 557-7055

2132 N Robins Dr
Ste 210
Layton, UT 84041

348 E 4500 S
Ste 220
Salt Lake Cty, UT 84107
Phone (801) 557-7055

295 S 1470 E
Ste 101
St George, UT 84790
Phone 80157770551961

2376 N 400 E
Ste 201
Tooele, UT 84074
Phone (801) 557-7055

Organizations & group practices 3

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1003530429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10965 S STATE ST STE 115",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704270",
            "telephone_number": "801-886-6104",
            "fax_number": "801-438-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10965 S STATE ST STE 115",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704270",
            "telephone_number": "840-708-0188",
            "fax_number": "801-438-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "UT",
            "license": "5984518-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "F08220993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.