Active NPI
Tana Lee Chacon
- Social Worker
- West Valley City, UT
National Provider Identifier
1497052187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 293442-3503
- Practice address
- 3280 W 3500 S Ste E
West Valley City, UT 84119-2668 - Phone
- (801) 979-1351
- NPI assigned
- Feb 16, 2011
- Last updated
- Feb 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | 293442-3503 | UT | Primary |
Addresses
Primary practice location
3280 W 3500 S Ste E
West Valley City, UT 84119-2668
Mailing address
3280 W 3500 S Ste E
West Valley City, UT 84119-2668
Phone (801) 979-1351
Other names 1
- Tana Lee Bettridge
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 |
|---|---|---|---|
| 293442-3503 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1497052187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 W 3500 S STE E",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841192668",
"telephone_number": "801-979-1351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 W 3500 S STE E",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841192668",
"telephone_number": "801-979-1351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACON",
"first_name": "TANA",
"middle_name": "LEE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-16",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "293442-3503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TANA",
"last_name": "BETTRIDGE",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Valley City, UT
- Catholic Health Initiatives Colorado (General & Breast Surgery West Valley)
- Catholic Health Initiatives Colorado (Obstetrics & Gynecology West Valley)
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado (Behavioral Health West Valley)
- Ian R Cavin, DO
- Diya Chadha, DMD
- Bruce Homer Chandler, LCSW
- Tina M Chandler
- Elsie Yah-Huei Chang, OD
- Cherished Steps ABA LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.