Kimberly Joan Hart, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

3083031-3601 Issued in UT

Practice address

4431 S Constitution Blvd
Taylorsville, UT 84129-8600

Phone

(801) 584-8256

Fax

(801) 536-0966

NPI assigned

Apr 18, 2018

Last updated

Apr 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Utah

  dba Utah Public Health Laboratory

  • Clinical Medical Laboratory
  • Taylorsville, UT
  • NPI 1679964597
  NPD (past)

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1417444183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 S CONSTITUTION BLVD",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841298600",
            "telephone_number": "801-584-8256",
            "fax_number": "801-536-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 S CONSTITUTION BLVD",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841298600",
            "telephone_number": "801-584-8256",
            "fax_number": "801-536-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "KIMBERLY",
        "middle_name": "JOAN",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "UT",
            "license": "3083031-3601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Harrison
• Trent C Harrison, D.C.
• Cynthia Harshbarger
• Allison Hart
• Danielle Hart
• Valerie Hart
• Jadyn Harter
• Jamielynne Hartley
• Jalal Harun
• Jessica Harward

• Genetic Counselor (M.S.) in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Genetic Counselor (M.S.) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.