Active NPI
Lynnette M Hazard, OT
- Occupational Therapist
- Salt Lake City, UT
National Provider Identifier
1396172482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1298
- Practice address
- 1952 East 7000 South Ste 100
Salt Lake City, UT 84121 - Phone
- (801) 972-3311
- Fax
- (801) 495-5303
- NPI assigned
- Oct 3, 2013
- Last updated
- Oct 3, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1298 | HI | Primary |
Addresses
Primary practice location
1952 East 7000 South Ste 100
Salt Lake City, UT 84121
Mailing address
1952 East 7000 South Ste 100
Salt Lake City, UT 84121
Phone (801) 972-3311
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 |
|---|---|---|---|
| 1298 | HI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1396172482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1952 EAST 7000 SOUTH STE 100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84121",
"telephone_number": "801-972-3311",
"fax_number": "801-495-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 EAST 7000 SOUTH STE 100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84121",
"telephone_number": "801-972-3311",
"fax_number": "801-495-5303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZARD",
"first_name": "LYNNETTE",
"middle_name": "M",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "HI",
"license": "1298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.