Individual provider Active NPI

Natalie Angelica Solis, APRN

  • Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1053953778
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5914555-4405 Issued in UT
Practice address
4401 Harrison Blvd Ste 1885
Ogden, UT 84403-3195
Phone
(801) 387-4870
NPI assigned
Oct 14, 2019
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5914555-4405 UT Primary

Addresses

Primary practice location

4401 Harrison Blvd Ste 1885
Ogden, UT 84403-3195

Mailing address

PO Box 337
Layton, UT 84041-0337
Phone (801) 773-4840

Other names 1

  • Natalie Angelica Sandoval Former name

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
I20200218003171 UT Practitioner - Nurse Practitioner 8527495233 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Dec 31, 2019 Accepting new patients
Ihc Health Services Inc CurrentSince Dec 31, 2019 Accepting new patients
Impact Physician Group, LLC CurrentSince Mar 11, 2024 Accepting new patients
Jordan Ridge Family Medicine LLC CurrentSince Jan 1, 2023 Accepting new patients
Jordan Ridge Family Medicine LLC CurrentSince Jan 1, 2023 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Jordan Ridge Family Medicine LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007

322 E Front St
Ste 400
Boise, ID 83702
Phone (801) 265-1003

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

4401 Harrison Blvd
Ste 1885
Ogden, UT 84403
Phone (801) 387-4870

5825 Harrison Blvd
South Ogden, UT 84403
Phone (801) 475-5254

306 W River Bend Ln
Sundance, UT 84604
Phone (801) 226-5838

6321 S Redwood Rd
Ste 201
Taylorsville, UT 84123
Phone (801) 265-2212

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1053953778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840410337",
            "telephone_number": "801-773-4840",
            "fax_number": "801-525-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 HARRISON BLVD STE 1885",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033195",
            "telephone_number": "801-387-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "NATALIE",
        "middle_name": "ANGELICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "5914555-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "SANDOVAL",
            "middle_name": "ANGELICA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.