Individual provider Active NPI

Krista Hendrickson, CNM

  • Advanced Practice Midwife
  • Orem, UT
National Provider Identifier
1083364137
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
7690389 Issued in UT
Practice address
527 W 400 N Ste 4
Orem, UT 84057-1951
Phone
(801) 404-5588
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 7690389 UT Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 7690389-4402 UT

Addresses

Primary practice location

527 W 400 N Ste 4
Orem, UT 84057-1951

Mailing address

442 W Salem Canal Rd
Salem, UT 84653-9231
Phone (801) 234-9925

Other names 1

  • Krista Thurman 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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220516000667 UT Practitioner - Certified Nurse Midwife (CNM) 8820475726 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
7690389-4402UTMDObstetrics & Gynecology Nurse Practitioner
7690389UTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, PC CurrentSince May 5, 2022 Accepting new patients
Valley Obstetrics and Gynecology, PC Current Accepting new patients
Valley Obstetrics and Gynecology, P.C. Advanced Practice Midwife CurrentSince May 5, 2022 Accepting new patients
Valley Obstetrics and Gynecology, PC Past Accepting new patients
Valley Obstetrics and Gynecology, P.C. Past Accepting new patients
Valley Obstetrics and Gynecology Advanced Practice Midwife Past Accepting new patients

Locations

1248 E 90 N
Ste 300
American Fork, UT 84003
Phone (801) 756-1157

3000 N Triumph Blvd
Ste 210
Lehi, UT 84043
Phone (801) 374-1801

700 W 800 N
Ste 200
Orem, UT 84057
Phone (801) 229-2229

527 W 400 N
Ste 4
Orem, UT 84057
Phone (801) 225-9991

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

1055 N 300 W
Ste 108
Provo, UT 84604
Phone (801) 357-7190

118 E Thrive Dr
Ste 200
Saratoga Springs, UT 84045
Phone (801) 756-1577

692 E Market Place Dr
Ste 300
Spanish Fork, UT 84660

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.702

Organizations & group practices 6

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1083364137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 W SALEM CANAL RD",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846539231",
            "telephone_number": "801-234-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 W 400 N STE 4",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571951",
            "telephone_number": "801-404-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "KRISTA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "7690389",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "UT",
            "license": "7690389-4402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "THURMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.