Individual provider Active NPI

Dawn Hansen, FNP-BC

  • Family Nurse Practitioner
  • St George, UT
National Provider Identifier
1669814489
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335212-4405 Issued in UT
Practice address
295 S 1470 E # 300
St George, UT 84790-1762
Phone
(435) 674-0999
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 335212-4405 UT Primary

Addresses

Primary practice location

295 S 1470 E # 300
St George, UT 84790-1762

Mailing address

295 S 1470 E # 300
St George, UT 84790-1762
Phone (435) 674-0999

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
I20150610000880 UT Practitioner - Nurse Practitioner 1254652688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St George OBGYN LLCGroup PAC ID 3173793841, 6 clinicians

Practice addresses (Care Compare)

295 S 1470
Suite 300
St George, UT 84790-1962
Phone (435) 674-0999

Hospital & facility affiliations

  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
335212-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. George OBGYN LLC CurrentSince Apr 21, 2015 Accepting new patients
Valley Obstetrics and Gynecology, PC PastSince Apr 21, 2015 Accepting new patients

Locations

295 S 1470 E
Ste 300
St George, UT 84790
Phone (435) 674-0999

515 S 300 E
Ste 205
St George, UT 84770
Phone (435) 674-0999

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1669814489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S 1470 E # 300",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901762",
            "telephone_number": "435-674-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S 1470 E # 300",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901762",
            "telephone_number": "435-674-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DAWN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "335212-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.