Active NPI
Kristi Joanne Hard
- Clinical Social Worker
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11343628-3502
- Practice address
- 750 N Freedom Blvd
Provo, UT 84601-1677 - Phone
- (801) 373-4760
- Fax
- (801) 373-0639
- NPI assigned
- Jun 22, 2018
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11343628-3502 | UT | Primary |
| School Social Worker | 1041S0200X |
Addresses
Primary practice location
750 N Freedom Blvd
Provo, UT 84601-1677
Mailing address
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
Other practice location 1
1726 Buckley Ln
Provo, UT 84606
Phone (801) 373-6562
Other practice location 2
1726 Buckley Ln
Provo, UT 84606
Phone (801) 373-6562
Other practice location 3
1726 Buckley Ln
Provo, UT 84606
Phone (801) 373-6562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780179739 | Medicaid | UT |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 N 200
Provo, UT 84601-1677
Phone (801) 373-4760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11343628-3502 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Behavioral Health Special Service District | Current | Accepting new patients | |
| Wasatch Behavioral Health Special Service District | Current | Accepting new patients |
Locations
750 N Freedom Blvd
Ste 300
Provo, UT 84601
Phone (801) 373-4763
1157 E 300 N
Provo, UT 84606
Phone (801) 373-7443
750 N Freedom Blvd
Provo, UT 84601
Phone (801) 373-0639
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.
-
- Community/Behavioral Health Agency
- Provo, UT
- NPI 1356357115
-
- Clinical Medical Laboratory
- Orem, UT
- NPI 1669257556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1780179739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N FREEDOM BLVD",
"city": "PROVO",
"state": "UT",
"postal_code": "846011677",
"telephone_number": "801-373-4760",
"fax_number": "801-373-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 N FREEDOM BLVD",
"city": "PROVO",
"state": "UT",
"postal_code": "846011677",
"telephone_number": "801-373-4760",
"fax_number": "801-373-0639"
}
],
"practiceLocations": [
{
"address_1": "1726 Buckley Ln",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "84606",
"country_code": "US",
"telephone_number": "801-373-6562",
"fax_number": "801-375-9225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1726 Buckley Ln",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "84606",
"country_code": "US",
"telephone_number": "801-373-6562",
"fax_number": "801-375-9225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1726 Buckley Ln",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "84606",
"country_code": "US",
"telephone_number": "801-373-6562",
"fax_number": "801-375-9225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARD",
"first_name": "KRISTI",
"middle_name": "JOANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-22",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "11343628-3502",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780179739",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.