Individual provider Active NPI

Theresa Brooke Sligting, NP

  • Family Nurse Practitioner
  • Sandy, UT
National Provider Identifier
1043086747
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11230477 Issued in UT
Practice address
9600 S 1300 E Ste 220
Sandy, UT 84094-3783
Phone
(801) 571-0009
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F11230477 UT Primary

Addresses

Primary practice location

9600 S 1300 E Ste 220
Sandy, UT 84094-3783

Mailing address

3080 E Granite Slope LN
Sandy, UT 84092-2553
Phone (801) 699-6526

Other practice location 1

3080 E Granite Slope Ln
Sandy, UT 84092-2553
Phone (801) 699-6526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228004127 UT Practitioner - Nurse Practitioner 5193160216 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granger Medical Clinic PCGroup PAC ID 3476465691, 192 clinicians

Practice addresses (Care Compare)

2965 W 3500
West Valley City, UT 84119-3602
Phone (801) 965-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F11230477UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Granger Medical Clinic PC CurrentSince Jul 1, 2025 Accepting new patients
Granger Medical Specialists, LLC CurrentSince Jul 1, 2025 Accepting new patients
Granger Medical Specialists LLC CurrentSince Jul 1, 2025 Accepting new patients
Granger Medical Clinic PC CurrentSince Jul 1, 2025 Accepting new patients
Granger Medical Clinic PC Current Accepting new patients
Granger Medical Clinic PC PastSince Jul 13, 2025 Accepting new patients

Locations

12391 S 4000 W
Riverton, UT 84096
Phone (801) 302-1700

995 W Levoy Dr
Taylorsville, UT 84123

2965 W 3500 S
West Valley City, UT 84119
Phone (801) 965-3505

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGFBAA/Endpoint/FGFBAA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1043086747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 E GRANITE SLOPE LN",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840922553",
            "telephone_number": "801-699-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 S 1300 E STE 220",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943783",
            "telephone_number": "801-571-0009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3080 E Granite Slope Ln",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840922553",
            "country_code": "US",
            "telephone_number": "801-699-6526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLIGTING",
        "first_name": "THERESA",
        "middle_name": "BROOKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "F11230477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.