Lisa Marie Hanson, NP

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

5984518-4405 Issued in UT

Practice address

4538 W South Jordan Pkwy Unit 110
South Jordan, UT 84009-5852

Phone

(801) 661-6052

NPI assigned

Sep 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Option Care Infusion Suites LLCGroup PAC ID 5698179125, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Option Care Infusion Suites, LLC

  • Nurse Practitioner
  • Murray, UT
  • NPI 1164194601

  UT

  Medicare reassignment Care Compare group NPD
• Option Care Infusion Suites, LLC

  • Infusion Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1508695552
  Care Compare group NPD (past)
• Option Care Infusion Suites, LLC

  • Infusion Therapy Clinic/Center
  • Memphis, TN
  • NPI 1497584445
  NPD

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1003530429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 W SOUTH JORDAN PKWY UNIT 110",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840095852",
            "telephone_number": "801-661-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4538 W SOUTH JORDAN PKWY UNIT 110",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840095852",
            "telephone_number": "801-661-6052"
        }
    ],
    "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": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "UT",
            "license": "5984518-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Hamilton, FNP-BC
• Jennylyn Hammond, LCSW
• Erik Shane Hansen, APRN
• Jennifer Hansen, CSW
• Teri Jo Hansen, LMT, NBCHWC, CMES
• Happy Health and Wellness of Utah LLC
• Marshall David Harding, LSAC
• Dale F Hardy, O.D.
• Glen Alden Harline, RPH
• Harmon City Inc

• All providers in South Jordan, UT
• Adult Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.