Active NPI
Hyrum William Ranson
- Peer Specialist
- Salt Lake City, UT
National Provider Identifier
1073087722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- F22-102569
- Practice address
- 1020 S Main St Ste 100
Salt Lake City, UT 84101-3194 - Phone
- (801) 263-7100
- NPI assigned
- Jan 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Peer Specialist | 175T00000X | F22-102569 | UT | Primary |
Addresses
Primary practice location
1020 S Main St Ste 100
Salt Lake City, UT 84101-3194
Mailing address
4460 S Highland Dr
Salt Lake City, UT 84124-3543
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F22-102569 | UT | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1073087722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4460 S HIGHLAND DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841243543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 S MAIN ST STE 100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841013194",
"telephone_number": "801-263-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANSON",
"first_name": "HYRUM",
"middle_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-16",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "UT",
"license": "F22-102569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.