Active NPI
Hannah Beate Thomsen, NP
- Family Nurse Practitioner
- Logan, UT
National Provider Identifier
1942789433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 364302-4405
- Practice address
- 2310 N 400 E
Logan, UT 84341-1788 - Phone
- (435) 774-8516
- NPI assigned
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 277575-4405 | UT | |
| Nurse Practitioner | 363L00000X | 59590 | ID | |
| Family Nurse Practitioner | 363LF0000X | 364302-4405 | UT | Primary |
Addresses
Primary practice location
2310 N 400 E
Logan, UT 84341-1788
Mailing address
2310 N 400 E
Logan, UT 84341-1788
Phone (435) 774-8516
Other practice location 1
997 S 800 W
Brigham City, UT 84302-3042
Phone (435) 239-8780
Other practice location 2
126 W 1550 S
Perry, UT 84302-4277
Phone (435) 723-1724
Other practice location 3
455 E 2500 N
Logan, UT 84341-1523
Phone (435) 258-8828
Other practice location 4
44 N 1st E
Preston, ID 83263-1326
Phone (435) 787-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364302-4405 | Other | UT | LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59590 | ID | MD | Nurse Practitioner |
| 277575-4405 | UT | MD | Nurse Practitioner |
| 364302-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountainstar Medical Group- Cache Valley, LLC | Single Specialty | Past | Accepting new patients |
| Ojo Eye Care LLC | Single Specialty | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Providence, UT
- NPI 1144475674
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1942789433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 N 400 E",
"city": "LOGAN",
"state": "UT",
"postal_code": "843411788",
"telephone_number": "435-774-8516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 N 400 E",
"city": "LOGAN",
"state": "UT",
"postal_code": "843411788",
"telephone_number": "435-774-8516"
}
],
"practiceLocations": [
{
"address_1": "997 S 800 W",
"address_purpose": "LOCATION",
"city": "Brigham City",
"state": "UT",
"postal_code": "843023042",
"country_code": "US",
"telephone_number": "435-239-8780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "126 W 1550 S",
"address_purpose": "LOCATION",
"city": "Perry",
"state": "UT",
"postal_code": "843024277",
"country_code": "US",
"telephone_number": "435-723-1724",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 E 2500 N",
"address_purpose": "LOCATION",
"city": "Logan",
"state": "UT",
"postal_code": "843411523",
"country_code": "US",
"telephone_number": "435-258-8828",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44 N 1st E",
"address_purpose": "LOCATION",
"city": "Preston",
"state": "ID",
"postal_code": "832631326",
"country_code": "US",
"telephone_number": "435-787-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMSEN",
"first_name": "HANNAH",
"middle_name": "BEATE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "277575-4405",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "59590",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "364302-4405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "364302-4405",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.