Caresource
NPI 1124242128 · Hospice and Palliative Medicine (Family Medicine) Physician · Salt Lake City, UT
Caresource is a Hospice and Palliative Medicine (Family Medicine) Physician organization in Salt Lake City, UT (NPI 1124242128).
Provider details
- NPI number
- 1124242128
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shawntel Tanner, Administrator(801) 266-7200
- License
- 5221090-1205 (UT)
Specialties & taxonomies
- Hospice and Palliative Medicine (Family Medicine) PhysicianPrimary207QH0002XLicense 5221090-1205 (UT)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Caresource Senior Supportive Care Center
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2025-09-11
Frequently asked questions
- What is Caresource's NPI number?
- Caresource's National Provider Identifier (NPI) is 1124242128, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Caresource?
- Caresource is classified in the NPPES registry as Hospice and Palliative Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Caresource located?
- Caresource's practice location on file with NPPES is 1624 E 4500 S, Salt Lake City, UT 84117-4212.
- What is Caresource's phone number?
- The practice phone number listed in the NPPES registry for Caresource is (801) 266-7200.
- Who is the authorized official for Caresource?
- The authorized official listed on Caresource's NPPES record is Shawntel Tanner, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Caresource's NPI active?
- Yes — Caresource's NPI (1124242128) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.