Tip Bounyasane

Case Manager/Care Coordinator · West Jordan, UT

Individual Active NPI

NPI number 1285409565

Practice location

7901 S 3200 W # 632
West Jordan, UT 84088-5226
Phone
(801) 556-4037

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NPI record

NPI
1285409565
Entity type
Individual (Type 1)
Enumeration date
November 16, 2023
Last updated
December 30, 2025
Certified
December 30, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X F24-113176 UT

Mailing address

PO Box 632
West Jordan, UT 84084-0632
Phone
(801) 556-4037

About Tip Bounyasane

Tip Bounyasane is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 7901 S 3200 W # 632, West Jordan, UT 84088-5226. The NPI number 1285409565 was assigned on November 16, 2023 and the record was last updated on December 30, 2025.

Tip Bounyasane lists a license in the registry: #F24-113176 (UT) for Case Manager/Care Coordinator. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tip Bounyasane?

The NPI number is 1285409565.

What is the phone number of Tip Bounyasane?

The phone number listed for the practice location is (801) 556-4037.

Where is Tip Bounyasane located?

7901 S 3200 W # 632, West Jordan, UT 84088-5226.

What is the taxonomy code for Tip Bounyasane?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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