Active NPI
Genoveva Hurtado, AUD
- Audiologist
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 12855266-4101
- 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, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, UT
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4239 | SC | MD | General Practice Dentistry |
| 12855266-4101 | UT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Rocky Mountain Hearing & Balance LLC | Audiologist | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | 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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba MUSC Physicians
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
dba Intermountain North Canyon Family Practice
- Family Medicine Physician
- Provo, UT
- NPI 1992831218
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Hearing and Speech Clinic/Center
- Salt Lake City, UT
- NPI 1093907693
Audiologist
-
dba MUSC PHysicians
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
-
dba Orem Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
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.