MICHAEL HACKING


Address: 4460 S Highland Dr, Salt Lake City, UT 84124-3543
Phone: 8889494864

MICHAEL HACKING (NPI# 1841764529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841764529
Entity Type Individual
Full Name MICHAEL HACKING
Practice Address 4460 S Highland Dr
Salt Lake City
UT 84124-3543
Practice Telephone 8889494864
Mailing Telephone 8889494864
Enumeration Date 2019-01-16
Last Update Date 2020-03-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
5804920-3102 UT Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
5804920-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4460 S HIGHLAND DR
City SALT LAKE CITY
State UT
Zip Code 84124-3543

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396723334 Andra Marie Bruce Social Worker 4460 S Highland Dr, Ste 230, Salt Lake City, UT 84124-3543 2006-01-09
1952917080 Darcie Bakhouche Community Health Worker 4460 S Highland Dr, Salt Lake City, UT 84124-3543 2020-09-23
1235755695 Mariela Gil-nunez Community Health Worker 4460 S Highland Dr, Salt Lake City, UT 84124-3543 2020-06-22
1568088912 Claudie Alice Jan Community Health Worker 4460 S Highland Dr, Salt Lake City, UT 84124-3543 2020-06-22
1487277919 Kade Fasig Case Manager/Care Coordinator 4460 S Highland Dr, Salt Lake City, UT 84124-3543 2020-05-19
1528607942 Steven Spackman Community Health Worker 4460 S Highland Dr, Salt Lake City, UT 84124-3543 2020-01-02
1225677651 Micheala Zarbock Community Health Worker 4460 S Highland Dr, Salt Lake City, UT 84124-3543 2020-01-02
1508405176 Miranda Maxwell Community Health Worker 4460 S Highland Dr, Salt Lake City, UT 84124-3543 2019-12-31
1154973501 Sarah Dawn Barton Case Manager/Care Coordinator 4460 S Highland Dr, Salt Lake City, UT 84124-3543 2019-07-15
1932751955 Benjamin Lee Swift Case Manager/Care Coordinator 4460 S Highland Dr, Salt Lake City, UT 84124-3543 2019-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487273298 Shannon Penny Price Social Worker 4465 Maybeck Place, Condo C, Millcreek, UT 84124 2020-04-11
1922654367 Joseph C Melvin Md PC Colon & Rectal Surgery 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 2019-08-12
1366923252 Melanie Stumpf Counselor 1141 E 3900, Suite A170, Salt Lake City, UT 84124 2018-08-28
1376033993 Michelle Flowers Speech-Language Pathologist 2120 East 3900 South, Ste 200, Holladay, UT 84124 2018-05-18
1740797257 Lissa Anne Hutchings Nurse Practitioner 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 2018-01-05
1316465693 Randy Gines Counselor 4460 S Highland Drive # 230, Murray, UT 84124 2017-09-06
1417470717 Joshua Chandler Spencer Counselor 4460 South Highland Dr., 230, Murray, UT 84124 2017-07-19
1659891554 Marcus Whitney Counselor 4460 S Highland Dr. # 230, Murray, UT 84124 2017-06-21
1518496884 Courtney Nilson Counselor 4460 S. Highland Dr. #230, Murray, UT 84124 2017-06-08
1841687126 Intrafilrx Preferred Provider Organization 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 2015-04-23
Find all providers in zip 84124

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114536737 Bradley Martin Nurse Practitioner 31 M St Apt 110, Salt Lake City, UT 84103-3846 2020-07-29
1245877448 Carla Lucile Applegate-anderson Nurse Practitioner 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 2019-12-06
1720433196 Lillian Farris Nurse Practitioner 2180 E 4500 S Ste 125, Salt Lake City, UT 84117-4021 2016-05-04
1164816922 Brittany Talbot Nurse Practitioner Salt Lake City Vamc, 500 Foothill Dr, Salt Lake City, UT 84148-0001 2015-03-19
1376959023 Charleen Angell Aprn, Pllc Nurse Practitioner 145 S 400 E, Salt Lake City, UT 84111-2104 2014-07-02
1619390218 Darin Ashton Principe Nurse Practitioner 159 W Broadway Ste 200, Salt Lake City, UT 84101-1923 2014-02-03
1083052963 Christina Elizabeth Burton Nurse Practitioner 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 2013-06-12
1124237011 Maria Christina Paegle Nurse Practitioner 4659 Brookwood Dr, Salt Lake City, UT 84117-4909 2007-05-21
1558430389 Grace Forsythe Phd Inc Nurse Practitioner 2046 Murray Holladay Rd, 103, Salt Lake City, UT 84117-5125 2006-11-07
1639279466 Joann M Rolando Nurse Practitioner George E Wahlen Department of Veterans Affairs, Medical Center Va, Salt Lake City, UT 84148-0001 2006-09-22
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84124

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Dataset Information

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.

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