Active NPI
Jon and Nicole Woolsey
- Personal Care Attendant
- Ogden, UT
National Provider Identifier
1922536242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- JON AND NICOLE WOOLSEY
- Practice address
- 1496 E 5600 S Ste 6
Ogden, UT 84403-4824 - Phone
- (801) 479-7026
- NPI assigned
- May 31, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nicole Van Tassell
- Title
- Owner/President
- Phone
- (801) 479-7026
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | UT | Primary |
Addresses
Primary practice location
1496 E 5600 S Ste 6
Ogden, UT 84403-4824
Mailing address
1496 East 5600 South #6
Ogden, UT 84403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017-PCA-UT000382 | Medicaid | UT |
Other names 1
- Right at Home of Davis and Weber County
National Provider Directory
National Provider DirectoryLocations
1496 E 5600 S
Ste 6
South Ogden, UT 84403
Phone (801) 452-6066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496188800000",
"number": "1922536242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1496 EAST 5600 SOUTH #6",
"city": "OGDEN",
"state": "UT",
"postal_code": "84403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1496 E 5600 S STE 6",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034824",
"telephone_number": "801-479-7026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JON AND NICOLE WOOLSEY",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-31",
"last_updated": "2017-05-31",
"status": "A",
"authorized_official_last_name": "VAN TASSELL",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "801-479-7026",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2017-PCA-UT000382",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Right at Home of Davis and Weber County",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Right at Home of Davis and Weber County",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.