Individual provider Active NPI

Isabel Paola Jackman, NP

  • Nurse Practitioner
  • Lindon, UT
National Provider Identifier
1063284271
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10524740-4405 Issued in UT
Practice address
1971 700 N Suite 102
Lindon, UT 84042
Phone
(801) 697-6006
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 10524740-4405 UT Primary

Addresses

Primary practice location

1971 700 N Suite 102
Lindon, UT 84042

Mailing address

1971 700 N Suite 102
Lindon, UT 84042
Phone (801) 697-6006

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
I20231115001467 UT Practitioner - Nurse Practitioner 0446607352 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peak ENT Associates Nurse Practitioner CurrentSince Oct 17, 2023 Accepting new patients

Locations

3000 N Triumph Blvd
Ste 260
Lehi, UT 84043
Phone (385) 287-6070

1055 N 300 W
Ste 401
Provo, UT 84604
Phone (801) 375-4646

Organizations & group practices 1

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1063284271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 700 N SUITE 102",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "84042",
            "telephone_number": "801-697-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 700 N SUITE 102",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "84042",
            "telephone_number": "801-697-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "ISABEL",
        "middle_name": "PAOLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "10524740-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindon, UT

Sources for this page

Verify at the official NPI Registry.