Individual provider Active NPI

Susan Kay Hohenboken, RN

  • Diabetes Educator Registered Nurse
  • St George, UT
National Provider Identifier
1376769166
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
357545-3102 Issued in UT
Practice address
352 E Riverside Dr
Ste a-9
St George, UT 84790-6758
Phone
(435) 251-2888
Fax
(435) 688-5239
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 357545-3102 UT Primary

Addresses

Primary practice location

352 E Riverside Dr
Ste a-9
St George, UT 84790-6758

Mailing address

273 N 2830 E
St George, UT 84790-2498
Phone (435) 688-9732

Other identifiers 1

IdentifierTypeStateIssuer
357545-3102OtherUTLICENSE

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
357545-3102UTMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376769166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 N 2830 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902498",
            "telephone_number": "435-688-9732",
            "fax_number": "435-688-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 E RIVERSIDE DR",
            "address_2": "STE A-9",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906758",
            "telephone_number": "435-251-2888",
            "fax_number": "435-688-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOHENBOKEN",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "UT",
            "license": "357545-3102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "357545-3102",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.