Active NPI
Cortney Christine Hansen, SSW
- Case Management Agency
- Tremonton, UT
National Provider Identifier
1982114104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 440 W 600 N
Tremonton, UT 84337-2400 - Phone
- (435) 257-2168
- NPI assigned
- Oct 2, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
440 W 600 N
Tremonton, UT 84337-2400
Mailing address
3130 W 11300 N
Deweyville, UT 84309-9719
Phone (385) 231-3945
Other practice location 1
6013 S Redwood Rd
Taylorsville, UT 84123-5220
Phone (801) 255-5131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982114104 | Medicaid | UT |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1982114104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 W 11300 N",
"city": "DEWEYVILLE",
"state": "UT",
"postal_code": "843099719",
"telephone_number": "385-231-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 W 600 N",
"city": "TREMONTON",
"state": "UT",
"postal_code": "843372400",
"telephone_number": "435-257-2168"
}
],
"practiceLocations": [
{
"address_1": "6013 S Redwood Rd",
"address_purpose": "LOCATION",
"city": "Taylorsville",
"state": "UT",
"postal_code": "841235220",
"country_code": "US",
"telephone_number": "801-255-5131",
"fax_number": "801-255-5131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "CORTNEY",
"middle_name": "CHRISTINE",
"credential": "SSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-02",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982114104",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tremonton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.