Individual provider Active NPI

Lisa M Hill, CNM

  • Advanced Practice Midwife
  • West Valley City, UT
National Provider Identifier
1033998315
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
6755837-4402 Issued in UT
Practice address
3336 S Pioneer Pkwy Ste 301
West Valley City, UT 84120-2073
Phone
(801) 964-3865
NPI assigned
Sep 26, 2023
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 6755837-4402 UT Primary
Registered Nurse 163W00000X 6755837-3102 UT

Addresses

Primary practice location

3336 S Pioneer Pkwy Ste 301
West Valley City, UT 84120-2073

Mailing address

9645 S Yorkshire Dr
South Jordan, UT 84009-9635
Phone (801) 964-3865

Other practice location 1

3336 S 4155 W
Ste 301
West Valley City, UT 84120
Phone (801) 964-3865

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231020000865 UT Practitioner - Certified Nurse Midwife (CNM) 2163878547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

3336 S 4155
Suite 301
West Valley City, UT 84120
Phone (801) 964-3865

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
6755837-3102UTMDRegistered Nurse
6755837-4402UTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Oct 1, 2023 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Oct 1, 2023 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Physician Group of Utah Inc PastSince Oct 1, 2023 Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1033998315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 S YORKSHIRE DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840099635",
            "telephone_number": "801-964-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 S PIONEER PKWY STE 301",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202073",
            "telephone_number": "801-964-3865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3336 S 4155 W",
            "address_2": "Ste 301",
            "address_purpose": "LOCATION",
            "city": "West Valley City",
            "state": "UT",
            "postal_code": "84120",
            "country_code": "US",
            "telephone_number": "801-964-3865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "6755837-4402",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "6755837-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

Verify at the official NPI Registry.