Individual provider Active NPI

Tatiana Kathleen Millett

  • Social Worker
  • Salt Lake City, UT
National Provider Identifier
1902194343
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
607 E 200 S
Salt Lake City, UT 84102-2110
Phone
(801) 363-0203
NPI assigned
Jul 19, 2011
Last updated
Jul 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

607 E 200 S
Salt Lake City, UT 84102-2110

Mailing address

607 E 200 S
Salt Lake City, UT 84102-2110
Phone (801) 363-0203

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603003866 UT Practitioner - Clinical Social Worker 6204378409 Reassigns benefits to 1 organization

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
Numinus Wellness Ut IncGroup PAC ID 2163750688, 50 clinicians

Practice addresses (Care Compare)

672 W 400
Suite 201
Springville, UT 84663-3170
Phone (801) 369-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Numinus Wellness Ut Inc CurrentSince May 22, 2024 Accepting new patients
Ogden Internal Medicine & Urology LLC PastSince May 22, 2024 Accepting new patients

Locations

48 N 1100 E
Ste B
American Fork, UT 84003
Phone (801) 492-9934

721 E 12200 S
#101
Draper, UT 84020

2950 N Church St
Ste 101
Layton, UT 84040
Phone (801) 771-7202

154 E Myrtle Ave
Ste 204
Salt Lake City, UT 84107
Phone (801) 266-9300

672 W 400 S
Ste 201
Springville, UT 84663
Phone (208) 680-8226

Interoperability endpoints

  • Direct secure messaging: tatiana.millett.1@17324.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1902194343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 E 200 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022110",
            "telephone_number": "801-363-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E 200 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022110",
            "telephone_number": "801-363-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLETT",
        "first_name": "TATIANA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.