Individual provider Active NPI

Genoveva Hurtado, AUD

  • Audiologist
  • Murray, UT
National Provider Identifier
1295461176
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
12855266-4101 Issued in UT
Practice address
5872 S 900 E Ste 175
Murray, UT 84121-1673
Phone
(801) 268-3277
NPI assigned
Jul 25, 2022
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 12855266-4101 UT Primary
Audiologist 231H00000X 4239 SC

Addresses

Primary practice location

5872 S 900 E Ste 175
Murray, UT 84121-1673

Mailing address

206 S Indian Springs Dr
Layton, UT 84040-4306
Phone (575) 643-5285

Other practice location 1

171 Ashley Ave
Charleston, SC 29425-1673
Phone (843) 792-1414

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221018001408 SC Practitioner - Qualified Audiologist 8325414212 Reassigns benefits to 1 organization
I20241104000704 UT Practitioner - Qualified Audiologist 8325414212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

5770 S 250
Murray, UT 84107-8100
Phone (801) 314-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4239SCMDGeneral Practice Dentistry
12855266-4101UTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Nov 17, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Sep 20, 2022 Accepting new patients
Rocky Mountain Hearing & Balance LLC Audiologist CurrentSince Jul 1, 2022 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Sep 20, 2022 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 17, 2024 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Ste 2D
Layton, UT 84041
Phone (801) 543-6900

5872 S 900 E
Ste 175
Murray, UT 84121
Phone (801) 268-3277

390 N Main St
N Salt Lake, UT 84010
Phone (801) 294-1000

4403 Harrison Blvd
Ste 2645
Ogden, UT 84403
Phone (801) 387-2880

4403 Harrison Blvd
Ste 2855
Ogden, UT 84403
Phone (801) 387-2550

5770 S 250 E
Ste 300
Salt Lake City, UT 84107
Phone (801) 314-2500

5770 S 250 E
Salt Lake Cty, UT 84107
Phone (801) 314-2102

389 S 900 E
Slc, UT 84102
Phone (385) 282-2000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1295461176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S INDIAN SPRINGS DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840404306",
            "telephone_number": "575-643-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5872 S 900 E STE 175",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841211673",
            "telephone_number": "801-268-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294251673",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "GENOVEVA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "12855266-4101",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "4239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "171 Ashley Ave",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294251673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.