Individual provider Active NPI

Hannah Beate Thomsen, NP

  • Family Nurse Practitioner
  • Logan, UT
National Provider Identifier
1942789433
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
364302-4405 Issued in UT
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

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 277575-4405 UT
Nurse Practitioner 363L00000X 59590 ID
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
364302-4405OtherUTLICENSE

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

LicenseStateTypeSpecialty
59590IDMDNurse Practitioner
277575-4405UTMDNurse Practitioner
364302-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.