Active NPI
Gordon Tanner Foote
- Clinical Social Worker
- Bountiful, UT
National Provider Identifier
1356486013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16275
- Practice address
- 672 Templeview Dr
Bountiful, UT 84010-1381 - Phone
- (469) 578-2743
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2996 | OK | |
| Clinical Social Worker | 1041C0700X | 16275 | TX | Primary |
Addresses
Primary practice location
672 Templeview Dr
Bountiful, UT 84010-1381
Mailing address
672 Templeview Dr
Bountiful, UT 84010-1381
Phone (469) 578-2743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16275 | TX | MD | Clinical Social Worker |
| 2996 | OK | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1356486013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "672 TEMPLEVIEW DR",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840101381",
"telephone_number": "469-578-2743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "672 TEMPLEVIEW DR",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840101381",
"telephone_number": "469-578-2743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOOTE",
"first_name": "GORDON",
"middle_name": "TANNER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "2996",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "16275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.