Individual provider Active NPI

Donald R Hastie, BC-FNP

  • Family Nurse Practitioner
  • West Jordan, UT
National Provider Identifier
1619900339
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN000990 Issued in NV
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

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060202000090 UT Practitioner - Nurse Practitioner 2961416664 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2047224405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Just the Right Age Current Accepting new patients
Mod-Doc Inc CurrentSince Sep 25, 2024 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.

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

Verify at the official NPI Registry.