Active NPI
Krista Hendrickson, CNM
- Advanced Practice Midwife
- Orem, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 7690389
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7690389-4402 | UT | MD | Obstetrics & Gynecology Nurse Practitioner |
| 7690389 | UT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Obstetrics and Gynecology, PC | Current | Accepting new patients | |
| Valley Obstetrics and Gynecology, PC | Current | Accepting new patients | |
| Valley Obstetrics and Gynecology, P.C. | Advanced Practice Midwife | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- American Fork, UT
- NPI 1588863377
-
- Advanced Practice Midwife
- American Fork, UT
- NPI 1780002188
-
- Obstetrics & Gynecology Physician
- Provo, UT
- NPI 1699977496
-
- Advanced Practice Midwife
- Provo, UT
- NPI 1740559996
-
- Clinical Medical Laboratory
- Provo, UT
- NPI 1346718764
-
- Obstetrics & Gynecology Physician
- St George, UT
- NPI 1568478170
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.