TESSA JANE HAMILTON (NPI# 1104459767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104459767 |
| Entity Type | Individual |
| Full Name | TESSA JANE HAMILTON |
| Credential | DNP, PMHNP-BC |
| Practice Address |
672 W 400 S Ste 201 Springville UT 84663-3170 |
| Practice Telephone | 8013698989 |
| Mailing Telephone | 8013698989 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
9458849-3102 | UT | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
94588494405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2018 E Lincoln Ln, Salt Lake City, UT 841242764 | 2086808226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811446008 | Tessa Darrow Hamilton | Contractor | 2156 Shillelagh Rd, Chesapeake, VA 23323-6539 | 2016-09-28 |
| 1467018622 | Tessa Natanay Hamilton | Student in an Organized Health Care Education/Training Program | 83 Maiden Ln, New York, NY 10038-4812 | 2019-05-14 |
| Street Address |
672 W 400 S STE 201 |
| City | SPRINGVILLE |
| State | UT |
| Zip Code | 84663-3170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013938588 | James Michael Marcum | Psychiatry & Neurology | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2006-07-21 |
| 1699396515 | Vhari Macbeth | Social Worker | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2020-05-01 |
| 1447805809 | Joshua Reed Bentley | Nurse Practitioner | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2019-08-02 |
| 1265092282 | Cedar Psychiatry LLC | Psychiatry & Neurology | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2019-06-20 |
| 1447817226 | Robert G Mcnutt | Social Worker | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2019-05-28 |
| 1811554751 | Landon Robert Moyers | Nurse Practitioner | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2019-05-27 |
| 1801453279 | Mallory Hansen | Social Worker | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2019-05-21 |
| 1932693587 | Karl Tucker | Nurse Practitioner | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2018-06-18 |
| 1104224815 | Mallory M Danielson | Physician Assistant | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2014-12-11 |
| 1235551409 | Derick W Moody | Physician Assistant | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2014-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1780215269 | Reboot Centers Hobble Creek | Clinical Neuropsychologist | 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 | 2020-02-03 |
| 1063053866 | Jesus Lopez | Clinic/Center | 1461 Archmore Loop, Springville, UT 84663 | 2019-10-02 |
| 1689109506 | Cd Pharmacy LLC | Pharmacy | 863 W 450 S, Suite 201, Springville, UT 84663 | 2017-04-28 |
| 1215479225 | Jaydynn Cusworth | Behavior Technician | 692 S 2800 W Unit I 101, Springville, UT 84663 | 2016-11-08 |
| 1245699602 | Pamela Jamison | Speech-Language Pathologist | 1072 Wildflower Way, Springville, UT 84663 | 2016-02-14 |
| 1013397348 | Lindsay Erickson | Counselor | 470 Buckley Ave, Springville, UT 84663 | 2015-06-02 |
| 1790084903 | Grant Lee Murdoch | Counselor | 1102 N 850 W, Springville, UT 84663 | 2011-03-28 |
| 1306148739 | Siuta Sonny Faaootoa | Counselor | 551 North Main Street, Springville, UT 84663 | 2010-11-17 |
| 1891000790 | Christopher David Westover | Social Worker | 716 N 200 E, Springville, UT 84663 | 2010-08-16 |
| Find all providers in zip 84663 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104467356 | Hannah Mcclellan Brooks | Nurse Practitioner | 1000 Saint Clair Rd, Springville, AL 35146-5585 | 2019-09-30 |
| 1447805809 | Joshua Reed Bentley | Nurse Practitioner | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2019-08-02 |
| 1811554751 | Landon Robert Moyers | Nurse Practitioner | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2019-05-27 |
| 1932693587 | Karl Tucker | Nurse Practitioner | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536737 | Bradley Martin | Nurse Practitioner | 31 M St Apt 110, Salt Lake City, UT 84103-3846 | 2020-07-29 |
| 1710595178 | Shannon Lee Zaryoun | Nurse Practitioner | 7970 S Grand Vista Way, Cottonwood Heights, UT 84121-5683 | 2020-07-21 |
| 1023640851 | Senior Nurse Practitioner Consultants | Nurse Practitioner | 5802 S 900 E # 3, Murray, UT 84121-1644 | 2020-02-10 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1124676044 | Marie R. Hurst | Nurse Practitioner | 5974 Fashion Point Dr Ste 140, South Ogden, UT 84403-4838 | 2019-09-04 |
| 1437706058 | Austin Sumner Heaps | Nurse Practitioner | 1044 N 600 E, Morgan, UT 84050-9269 | 2019-08-19 |
| 1821565839 | Clint Lee Martineau | Nurse Practitioner | 230 N 1680 E # 1, Saint George, UT 84790-2579 | 2018-10-28 |
| 1356827505 | Ashley Smith | Nurse Practitioner | 515 N 600 E, Hyrum, UT 84319-1133 | 2018-07-11 |
| 1588176606 | Bradley Keep | Nurse Practitioner | 4610 W 9980 N, Cedar Hills, UT 84062-8728 | 2017-10-30 |
| 1023548070 | Sarah Leggett | Nurse Practitioner | 9235 S Redwood Rd Ste A, West Jordan, UT 84088-5811 | 2017-06-13 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGVILLE |
| Zip Code | 84663 |
Please comment or provide details below to improve the information on TESSA JANE HAMILTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.