Active NPI
Jessica Hull, RN
- Registered Nurse
- Moab, UT
National Provider Identifier
1861158537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 11765851-3102
- Practice address
- 198 E Center St
Moab, UT 84532-2430 - Phone
- (435) 259-6131
- NPI assigned
- Nov 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 11765851-3102 | UT | Primary |
Addresses
Primary practice location
198 E Center St
Moab, UT 84532-2430
Mailing address
PO Box 867
Price, UT 84501-0867
Phone (435) 637-7200
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11765851-3102 | UT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Corners Community Behavioral Health, Inc. | Current | Accepting new patients | |
| Four Corners Community Behavioral Health Inc | Past | Accepting new patients |
Locations
198 E Center St
Moab, UT 84532
Phone (435) 259-2432
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Price, UT
- NPI 1487715330
-
dba Operation Recovery
- Methadone Clinic
- Price, UT
- NPI 1164048492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1861158537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 867",
"city": "PRICE",
"state": "UT",
"postal_code": "845010867",
"telephone_number": "435-637-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 E CENTER ST",
"city": "MOAB",
"state": "UT",
"postal_code": "845322430",
"telephone_number": "435-259-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "JESSICA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-16",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "11765851-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moab, UT
- Elizabeth Lazier Holtby, PA-C
- Travis Holtby
- Beth Anne Hood, ACMHC-EXTERN
- Jonathan Howell, RN
- Merrill M. Hugentobler, D.D.S
- Belinda Lou Hurst, CMHC
- Zoe Huston
- Ihc Health Services Inc (IMED Utah Heart Moab)
- Cynthia J Indergard, PT
- Intermountain Medical Group Grand Junction, LLC (Moab Neurology Satellite Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.