Active NPI
Mathew Casperson
- Case Manager/Care Coordinator
- Pleasant Grove, UT
National Provider Identifier
1982430278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- F24-112000
- Practice address
- 247 E 1920 N
Pleasant Grove, UT 84062-3872 - Phone
- (801) 870-5726
- NPI assigned
- Sep 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | F24-112000 | UT | Primary |
Addresses
Primary practice location
247 E 1920 N
Pleasant Grove, UT 84062-3872
Mailing address
247 E 1920 N
Pleasant Grove, UT 84062-3872
Phone (801) 870-5726
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F24-112000 | UT | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1982430278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 E 1920 N",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840623872",
"telephone_number": "801-870-5726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 E 1920 N",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840623872",
"telephone_number": "801-870-5726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASPERSON",
"first_name": "MATHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-12",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "UT",
"license": "F24-112000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Grove, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.