Hidden Valley Family Medicine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

188509-1205 Issued in UT

Legal business name

HIDDEN VALLEY FAMILY MEDICINE INC

Practice address

12176 S 1000 E
Draper, UT 84020-9716

Phone

(801) 572-3750

Fax

(801) 572-1097

NPI assigned

Jul 14, 2006

Last updated

May 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dani Lassiter

Title

Practice Administrator

Phone

(801) 572-3750

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlie Jo Hamilton, FNP

  • Family Nurse Practitioner
  • Draper, UT
  • NPI 1104978873
  Medicare reassignment Care Compare group NPD
• Spencer James Hardenbrook, M.D.

  • Family Medicine Physician
  • Draper, UT
  • NPI 1881952315
  Medicare reassignment Care Compare group NPD
• Mindy Marie Wade, APRN, NP-C

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1760036024
  Medicare reassignment Care Compare group NPD
• Rebecca Ann Waite, APRN

  • Adult Health Nurse Practitioner
  • Vineyard, UT
  • NPI 1902333065

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Cory Michael Rice, PA-C

  • Physician Assistant
  • Draper, UT
  • NPI 1336610450
  Medicare reassignment Care Compare group
• Rachel Jane Richard, PA-C

  • Family Medicine Physician
  • Draper, UT
  • NPI 1003637943
  Medicare reassignment Care Compare group
• Elizabeth Wright Timothy, PA

  • Medical Physician Assistant
  • Draper, UT
  • NPI 1760825582
  Medicare reassignment Care Compare group
• David E Cook, M.D.

  • Family Medicine Physician
  • South Jordan, UT
  • NPI 1538272133
  Medicare reassignment NPD
• Paula G Thacker, CNM

  • Advanced Practice Midwife
  • West Valley City, UT
  • NPI 1205867553
  Medicare reassignment NPD

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1144246984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12176 S 1000 E STE 4",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840203221",
            "telephone_number": "801-572-3750",
            "fax_number": "801-572-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12176 S 1000 E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209716",
            "telephone_number": "801-572-3750",
            "fax_number": "801-572-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN VALLEY FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "DANI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "801-572-3750"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "181268-1205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "181191-8905",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "188509-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Heybourne
• Sasha Heywood
• Lindsay McPhie Hickok
• Hidden Valley Eye Care, Inc.
• Hidden Valley Eyecare and Framed Optical, PLLC (Hidden Valley Eye Care and Framed Optical)
• Hidden Valley Pediatric Dental Inc (Adventure Dental)
• Highpointe Surgery Center LLC
• Baylee Hill
• Megan Hill, PT
• Amy Hillman

• Family Medicine Physician in Draper, UT
• Providers in Draper, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.