Courtney Lasumner Bass, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9321350-4405 Issued in UT

Practice address

1028 W Rooftop Dr
Midvale, UT 84047-4805

Phone

(801) 683-9523

NPI assigned

Mar 16, 2022

Last updated

Oct 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1871241950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 W ROOFTOP DR",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474805",
            "telephone_number": "801-683-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 W ROOFTOP DR",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474805",
            "telephone_number": "801-683-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "COURTNEY",
        "middle_name": "LASUMNER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-16",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "9321350-3102",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "9321350-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Bangerter
• Amy Lorraine Banks, M.D.
• Oscar Ulysses Barbosa
• Cassandra Jazmin Barraza
• Robert Gustav Barth, L.C.S.W.
• Hugh Howard Bates III, LCSW
• Pamela Beacom
• Beaver Valley Hospital (Cascades at Riverwalk)
• Willem M Becker, DVM
• Beehive Mental Health LLC

• Nurse Practitioner in Midvale, UT
• Providers in Midvale, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.