Organization Active NPI

Jon and Nicole Woolsey

  • Personal Care Attendant
  • Ogden, UT
National Provider Identifier
1922536242
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
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

Updated by the provider on May 31, 2017

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)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2017-PCA-UT000382MedicaidUT

Other names 1

  • Right at Home of Davis and Weber County Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.