Tessa Jane Hamilton, DNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

94588494405 Issued in UT

Practice address

850 E 300 S Ste 6
Salt Lake City, UT 84102-2332

Phone

(801) 872-3348

Fax

(801) 823-0706

NPI assigned

Feb 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Ogden Internal Medicine & Urology LLC

  • Internal Medicine Physician
  • Ogden, UT
  • NPI 1003001553
  NPD (past)
• Rick Biesinger LLC

  • Clinical Psychologist
  • Springville, UT
  • NPI 1740635176
  NPD (past)

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1104459767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 S HILLHOUSE CV UNIT 103",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074086",
            "telephone_number": "801-872-3348",
            "fax_number": "801-823-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E 300 S STE 6",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022332",
            "telephone_number": "801-872-3348",
            "fax_number": "801-823-0706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4718 S Hillhouse Cv Unit 103",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841074086",
            "country_code": "US",
            "telephone_number": "801-872-3348",
            "fax_number": "801-823-0706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "TESSA",
        "middle_name": "JANE",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "UT",
            "license": "9458849-3102",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "94588494405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Hamilton
• Lisa M Hamilton, NNP-BC
• Lisa-Linda Lee Hamilton, LCSW
• Marvin Hamilton, LCSW
• Noah Hamilton
• Tonua Hamilton, PT DPT
• Wendy Hamilton, PMHNP-BC
• William L Hamilton, MD
• Alicia Hamlin
• Rosalyn J. Hamman

• Psychiatric/Mental Health Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.