Active NPI
Bernice Tenort, MSWI
- Student in an Organized Health Care Education/Training Program
- Clearfield, UT
National Provider Identifier
1396392916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 430 E 450 S
Clearfield, UT 84015-1736 - Phone
- (801) 776-3305
- NPI assigned
- Aug 19, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
430 E 450 S
Clearfield, UT 84015-1736
Mailing address
299 N 200 W
Bountiful, UT 84010-7043
Phone (801) 815-3443
Other practice location 1
299 N 200 W
Bountiful, UT 84010-7043
Phone (801) 815-3443
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Alleva | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Health Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Clearfield, UT
- NPI 1578948535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1396392916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 N 200 W",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840107043",
"telephone_number": "801-815-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 E 450 S",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840151736",
"telephone_number": "801-776-3305"
}
],
"practiceLocations": [
{
"address_1": "299 N 200 W",
"address_purpose": "LOCATION",
"city": "Bountiful",
"state": "UT",
"postal_code": "840107043",
"country_code": "US",
"telephone_number": "801-815-3443",
"fax_number": "801-776-4162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TENORT",
"first_name": "BERNICE",
"credential": "MSWI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-19",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Alleva",
"affiliation": "N",
"endpointDescription": "group residential facility EMR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "299 N 200 W",
"city": "Bountiful",
"state": "UT",
"country_code": "US",
"postal_code": "840107043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clearfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.