Active NPI
Jessica Hart Oldroyd, RN-CDE ; MSN CPNP-PC
- Pediatric Nurse Practitioner
- Saratoga Springs, UT
National Provider Identifier
1104331099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 9143503-4405
- Practice address
- 41 E 1140 N Ste B
Saratoga Springs, UT 84045-5467 - Phone
- (801) 407-6500
- NPI assigned
- Dec 13, 2017
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 9143503-4405 | UT | Primary |
| Diabetes Educator Registered Nurse | 163WD0400X | 9143503-3102 | UT |
Addresses
Primary practice location
41 E 1140 N Ste B
Saratoga Springs, UT 84045-5467
Mailing address
41 E 1140 N Ste B
Saratoga Springs, UT 84045-5467
Phone (801) 407-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9143503-3102 | UT | MD | Diabetes Educator Registered Nurse |
| 9143503-4405 | UT | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Valley Pediatrics L.L.C. | Current | Accepting new patients | |
| Utah Valley Pediatrics L.L.C. | Past | Accepting new patients | |
| Rocky Mountain Youth Medical & Nursing Consultants Inc | Pediatrics | Past | Accepting new patients |
| Rocky Mountain Youth Medical and Nursing Consultants, Inc | Past | Accepting new patients |
Locations
41 E 1140 N
Ste B
Saratoga Springs, UT 84045
Phone (801) 407-6500
Interoperability endpoints
- jessica.oldroyd.1@14034.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Saratoga Springs, UT
- NPI 1780460253
-
- Pediatrics Physician
- Provo, UT
- NPI 1497812721
-
- Pediatrics Physician
- Thornton, CO
- NPI 1730295296
Pediatrics
-
- Multi-Specialty Clinic/Center
- Lakewood, CO
- NPI 1568065969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1104331099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 E 1140 N STE B",
"city": "SARATOGA SPRINGS",
"state": "UT",
"postal_code": "840455467",
"telephone_number": "801-407-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 E 1140 N STE B",
"city": "SARATOGA SPRINGS",
"state": "UT",
"postal_code": "840455467",
"telephone_number": "801-407-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDROYD",
"first_name": "JESSICA",
"middle_name": "HART",
"credential": "RN-CDE ; MSN CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-13",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "UT",
"license": "9143503-4405",
"primary": true
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "UT",
"license": "9143503-3102",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.