Individual provider Active NPI

Terri Lee Hopkins Clawson, DHSC, PA-C

  • Medical Physician Assistant
  • South Jordan, UT
National Provider Identifier
1992992952
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6731065-1206 Issued in UT
Practice address
3674 W South Jordan Pkwy Ste 223
South Jordan, UT 84009-7159
Phone
(385) 424-5527
Fax
(385) 360-1616
NPI assigned
Oct 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0756 SD
Physician Assistant 363A00000X 0069 MP
Medical Physician Assistant 363AM0700X 6731065-1206 UT Primary

Addresses

Primary practice location

3674 W South Jordan Pkwy Ste 223
South Jordan, UT 84009-7159

Mailing address

4638 W Serendipity Way
South Jordan, UT 84009-7730
Phone (385) 424-5527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170509000392 UT Practitioner - Physician Assistant 9931396678 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0756SDMDOccupational Therapist
0069MPMDPhysician Assistant

Organizations & group practices 1

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": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1992992952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4638 W SERENDIPITY WAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840097730",
            "telephone_number": "385-424-5527",
            "fax_number": "385-360-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 W SOUTH JORDAN PKWY STE 223",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840097159",
            "telephone_number": "385-424-5527",
            "fax_number": "385-360-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAWSON",
        "first_name": "TERRI",
        "middle_name": "LEE HOPKINS",
        "credential": "DHSC, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0756",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MP",
            "license": "0069",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "6731065-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.