Individual provider Active NPI

Heather Lynn Hansen, FNP-BC, AG-ACNP-BC

  • Family Nurse Practitioner
  • Cedar City, UT
National Provider Identifier
1437877552
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6590677-4405 Issued in UT
Practice address
98 Rountree Dr
Cedar City, UT 84720-3531
Phone
(801) 427-4239
NPI assigned
Aug 15, 2022
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 6590677-8900 UT
Family Nurse Practitioner 363LF0000X 6590677-4405 UT Primary

Addresses

Primary practice location

98 Rountree Dr
Cedar City, UT 84720-3531

Mailing address

98 Rountree Dr
Cedar City, UT 84720-3531
Phone (801) 427-4239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426001733 UT Practitioner - Nurse Practitioner 9335504323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6590677-8900UTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Utah PC CurrentSince Feb 1, 2025 Accepting new patients
Gadzoom Health LLC CurrentSince Mar 20, 2023 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

6975 S Union Park Ctr
Fl 6
Cottonwood Heights, UT 84047

3401 N Thanksgiving Way
Ste 190
Lehi, UT 84048
Phone (385) 454-5027

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1437877552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 ROUNTREE DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203531",
            "telephone_number": "801-427-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 ROUNTREE DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203531",
            "telephone_number": "801-427-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "FNP-BC, AG-ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "6590677-8900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6590677-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.