Individual provider Active NPI

Tamara Lee Hansen, DNP, APRN, FNP-C

  • Women's Health Nurse Practitioner
  • Saint George, UT
National Provider Identifier
1164101077
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
11471168-4405 Issued in UT
Practice address
295 S 1470 E Ste 200
Saint George, UT 84790-1963
Phone
(435) 628-1662
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 11471168-4405 UT Primary

Addresses

Primary practice location

295 S 1470 E Ste 200
Saint George, UT 84790-1963

Mailing address

1736 Flagstone Dr
Saint George, UT 84790-8528
Phone (801) 921-0005

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830001909 UT Practitioner - Nurse Practitioner 2062875685 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11471168-4405UTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, PC CurrentSince Aug 14, 2023 Accepting new patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Aug 14, 2023 Accepting new patients
Valley Obstetrics and Gynecology, PC Current Accepting new patients
Valley Obstetrics and Gynecology, PC Past Accepting new patients

Locations

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

295 S 1470 E
Ste 200
St George, UT 84790
Phone (435) 628-1662

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1164101077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 FLAGSTONE DR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908528",
            "telephone_number": "801-921-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S 1470 E STE 200",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847901963",
            "telephone_number": "435-628-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "TAMARA",
        "middle_name": "LEE",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "UT",
            "license": "11471168-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

Verify at the official NPI Registry.