MICHAEL HACKING (NPI# 1841764529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| Street Address |
4460 S HIGHLAND DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-3543 |
| 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 |
| Find all providers in the same location | ||||
| 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 Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| 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 | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
Please comment or provide details below to improve the information on MICHAEL HACKING.
| 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.