Individual provider Active NPI

Jessica Hart Oldroyd, RN-CDE ; MSN CPNP-PC

  • Pediatric Nurse Practitioner
  • Saratoga Springs, UT
National Provider Identifier
1104331099
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
9143503-4405 Issued in UT
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

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
9143503-3102UTMDDiabetes Educator Registered Nurse
9143503-4405UTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Valley Pediatrics L.L.C. CurrentSince Sep 5, 2023 Accepting new patients
Utah Valley Pediatrics L.L.C. PastSince Jun 25, 2023 Accepting new patients
Rocky Mountain Youth Medical & Nursing Consultants Inc Pediatrics Past Accepting new patients
Rocky Mountain Youth Medical and Nursing Consultants, Inc PastSince Nov 22, 2020 Accepting new patients

Locations

41 E 1140 N
Ste B
Saratoga Springs, UT 84045
Phone (801) 407-6500

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.