Kristin Van Tassell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6097293-4405 Issued in UT

Practice address

118 N Main St
Suite B
Salem, UT 84653-5698

Phone

(801) 477-9007

NPI assigned

Jan 18, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHGDBD

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.

• Hillside Medical Clinic LLC

  • Primary Care Clinic/Center
  • Salem, UT
  • NPI 1770853962
  NPD (past)

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

{
    "created_epoch": "1421539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421539200000",
    "number": "1740679430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N MAIN ST",
            "address_2": "SUITE B",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846535698",
            "telephone_number": "801-477-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N MAIN ST",
            "address_2": "SUITE B",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846535698",
            "telephone_number": "801-477-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN TASSELL",
        "first_name": "KRISTIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-18",
        "last_updated": "2015-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6097293-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Paul Thurston, DNP, FNP
• David Tipton, M.D.
• Jamie Lee Udell, DDS
• Utah Chiropractic & Car Accident LLC
• Spencer Van Ausdal
• Natalie Voroshuck
• Wakonda Dialysis LLC
• Brandi Walser-Sair
• Brent K Warren, RPH
• Darin Warren, PHARM.D

• Family Nurse Practitioner in Salem, UT
• Providers in Salem, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.