Lisa Gustavson, PH.D

ActiveIndividual ProviderSpecialty not listed
NPI issued: January 30, 2006

Quick Facts

NPI Number
1639140312
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy103TC1900X — Specialty not listed
Phone
(801) 284-4990
StateUT

NPI Validation Status: Verified

Valid 10-digit NPI number (1639140312)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (January 30, 2006)
Data source: CMS NPPES

Provider Overview

LISA GUSTAVSON, PH.D is a Healthcare provider based in Salt Lake City, UT who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1639140312
Provider TypeIndividual Provider
GenderFemale
CredentialPH.D
StatusActive
Enumeration DateJanuary 30, 2006

Practice Location

CitySalt Lake City
StateUT
ZIP Code84124-1215
Phone(801) 284-4990

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code103TC1900X
License StateUT

Mailing Address

CitySalt Lake City
StateUT
ZIP Code84124-1215
Phone(801) 284-4990
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1639140312 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1639140312for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1639140312 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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9,665
Specialty not listed Providers in the US

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People Also Ask

What is Lisa Gustavson's NPI number?
Lisa Gustavson's NPI number is 1639140312, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Lisa Gustavson's NPI currently active?
Yes, Lisa Gustavson's NPI status is Active as of the latest CMS NPPES database updates.
What does Lisa Gustavson specialize in?
Lisa Gustavson specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 103TC1900X.
Where does Lisa Gustavson practice?
Lisa Gustavson practices in Salt Lake City, UT 84124-1215.
When was Lisa Gustavson's NPI issued?
Lisa Gustavson's NPI was issued on January 30, 2006.
What is Lisa Gustavson's provider type?
Lisa Gustavson is registered as an Individual Provider under CMS NPI Type 1.