Active NPI
Donald R Hastie, BC-FNP
- Family Nurse Practitioner
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN000990
- Practice address
- 7611 Jordan Landing Blvd
200
West Jordan, UT 84084-5610 - Phone
- (801) 260-1919
- Fax
- (801) 260-1441
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN000990 | NV | Primary |
| Family Nurse Practitioner | 363LF0000X | 2047224405 | UT |
Addresses
Primary practice location
7611 Jordan Landing Blvd
200
West Jordan, UT 84084-5610
Mailing address
460 W 2600 S
Bountiful, UT 84010-7716
Phone (801) 660-8687
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1188 W Sportsplex Dr
Suite 102
Kaysville, UT 84037-6816
Phone (801) 449-9229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2047224405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just the Right Age | Current | Accepting new patients | |
| Mod-Doc Inc | Current | Accepting new patients | |
| After Hours Medical LLC | Past | Accepting new patients | |
| Premise Health of Nevada Medical Hinitt PC | Past | Accepting new patients | |
| Direct Care Medical Home Clinic LLC | Past | Accepting new patients |
Locations
11560 S State St
Draper, UT 84020
1188 W Sportsplex Dr
Ste 102
Kaysville, UT 84037
Phone (801) 447-1647
1741 N 2000 W
Ste 4
Ogden, UT 84404
Phone (385) 470-0150
Organizations & group practices 5
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.
-
- Primary Care Nurse Practitioner
- Kaysville, UT
- NPI 1801627096
-
- Adult Medicine Physician
- Midvale, UT
- NPI 1992310593
-
- Primary Care Clinic/Center
- West Jordan, UT
- NPI 1730507161
-
dba Premise Health Wellness Center-Las Vegas
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1649977067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1619900339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 W 2600 S",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840107716",
"telephone_number": "801-660-8687",
"fax_number": "866-332-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7611 JORDAN LANDING BLVD",
"address_2": "200",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840845610",
"telephone_number": "801-260-1919",
"fax_number": "801-260-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTIE",
"first_name": "DONALD",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "BC-FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APN000990",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "2047224405",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.