Individual provider Active NPI

Natalie Mortensen Morrill

  • Occupational Therapist
  • Logan, UT
National Provider Identifier
1396406419
Registry record updated Jan 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
94077504201 Issued in UT
Practice address
739 S 1250 W
Logan, UT 84321-6045
Phone
(801) 647-0734
NPI assigned
Jan 2, 2022
Last updated
Jan 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 94077504201 UT Primary

Addresses

Primary practice location

739 S 1250 W
Logan, UT 84321-6045

Mailing address

739 S 1250 W
Logan, UT 84321-6045
Phone (801) 647-0734

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Kinnser Direct

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

LicenseStateTypeSpecialty
94077504201UTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1396406419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 S 1250 W",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216045",
            "telephone_number": "801-647-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 S 1250 W",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216045",
            "telephone_number": "801-647-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRILL",
        "first_name": "NATALIE",
        "middle_name": "MORTENSEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-02",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "94077504201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kinnser",
            "affiliation": "N",
            "endpointDescription": "provides web-based solutions that deliver clinical and business results for the home health, hospice and private duty industries",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "739 S 1250 W",
            "city": "Logan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "843216045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.