Active NPI
Janis Hansen, NP
- Psychiatric/Mental Health Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1801352174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 6209243-4405
- Practice address
- 10 S 2000 E
Salt Lake City, UT 84112-5880 - Phone
- (801) 581-8261
- NPI assigned
- Feb 12, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 6209243-4405 | UT | |
| Family Nurse Practitioner | 363LF0000X | 6209243-4405 | UT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 6209243-4405 | UT | Primary |
Addresses
Primary practice location
10 S 2000 E
Salt Lake City, UT 84112-5880
Mailing address
2839 E Oakhurst Dr
Salt Lake City, UT 84108-2029
Phone (608) 509-3461
Other practice location 1
2332 W 12600 S Ste 2B
Riverton, UT 84065-7173
Phone (801) 209-9797
Other practice location 2
10714 S River Front Pkwy
South Jordan, UT 84095-3519
Phone (801) 899-6462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6209243-4405 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Consolidated Health LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Pleasant Grove, UT
- NPI 1851921993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1801352174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2839 E OAKHURST DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841082029",
"telephone_number": "608-509-3461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 S 2000 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841125880",
"telephone_number": "801-581-8261"
}
],
"practiceLocations": [
{
"address_1": "2332 W 12600 S Ste 2B",
"address_purpose": "LOCATION",
"city": "Riverton",
"state": "UT",
"postal_code": "840657173",
"country_code": "US",
"telephone_number": "801-209-9797",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10714 S River Front Pkwy",
"address_purpose": "LOCATION",
"city": "South Jordan",
"state": "UT",
"postal_code": "840953519",
"country_code": "US",
"telephone_number": "801-899-6462",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "JANIS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2021-03-24",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "6209243-4405",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "6209243-4405",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "UT",
"license": "6209243-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.