Active NPI
Susan B Hastings, PA-C
- Physician Assistant
- Kaysville, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 214662-1206
- Practice address
- 275 W 200 N Ste 7
Kaysville, UT 84037-1873 - Phone
- (801) 546-1300
- Fax
- (801) 546-1301
- NPI assigned
- Oct 12, 2005
- Last updated
- Sep 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 214662-1206 | UT | Primary |
Addresses
Primary practice location
275 W 200 N Ste 7
Kaysville, UT 84037-1873
Mailing address
275 W 200 N Ste 7
Kaysville, UT 84037-1873
Phone (801) 546-1300
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214662-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Clinic Specialty Services LLC | Physician Assistant | Current | Accepting new patients |
| Life Spring Pain Management, LLC | Past | Accepting new patients | |
| C and B Family Practice LLC | Past | Accepting new patients |
Locations
1159 12th St
Ogden, UT 84404
Phone (801) 475-3700
4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481
5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJGBA
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.
-
dba Ogden Clinic PC
- Sports Medicine (Family Medicine) Physician
- Ogden, UT
- NPI 1114203668
Physician Assistant
-
dba C and B Family Practice
- Nurse Practitioner
- Altonah, UT
- NPI 1841825213
-
- Health Service Clinic/Center
- Kaysville, UT
- NPI 1699115188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1073501086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 W 200 N STE 7",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840371873",
"telephone_number": "801-546-1300",
"fax_number": "801-546-1301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W 200 N STE 7",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840371873",
"telephone_number": "801-546-1300",
"fax_number": "801-546-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTINGS",
"first_name": "SUSAN",
"middle_name": "B",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "214662-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kaysville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.