Active NPI
Jacqueline Stuart Lloyd
- Physician Assistant
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- UT10846260-1206
- Practice address
- 4403 Harrison Blvd Ste 2855
Ogden, UT 84403-3323 - Phone
- (801) 387-7150
- Fax
- (801) 387-7155
- NPI assigned
- Apr 10, 2015
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | UT10846260-1206 | UT | Primary |
Addresses
Primary practice location
4403 Harrison Blvd Ste 2855
Ogden, UT 84403-3323
Mailing address
4403 Harrison Blvd Ste 2855
Ogden, UT 84403-3323
Phone (801) 387-7150
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- George Washington University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4401 Harrison Blvd
Ogden, UT 84403-3195
4403 Harrison Blvd
Ogden, UT 84403-3271
Phone (801) 378-7450
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UT10846260-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
201 W Layton Pkwy
Ste 2A
Layton, UT 84041
Phone (801) 387-7185
1281 N 600 E
Logan, UT 84341
Phone (435) 716-6400
4403 Harrison Blvd
Ste 3430
Ogden, UT 84403
Phone (801) 387-3866
4403 Harrison Blvd
Ste 2855
Ogden, UT 84403
Phone (801) 387-2550
4403 Harrison Blvd
Ste 1670
Ogden, UT 84403
Phone (801) 387-7125
4403 Harrison Blvd
Ste 3630
Ogden, UT 84403
Phone (801) 387-7900
5171 S Cottonwood St
Ste 610
Salt Lake City, UT 84107
Phone (801) 507-3630
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Ogden Cardiovascular
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ogden, UT
- NPI 1962547695
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Orem Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health McKay-Dee Hospital
- General Acute Care Hospital
- Ogden, UT
- NPI 1194749580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1255727731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 HARRISON BLVD STE 2855",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033323",
"telephone_number": "801-387-7150",
"fax_number": "801-387-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 HARRISON BLVD STE 2855",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033323",
"telephone_number": "801-387-7150",
"fax_number": "801-387-7155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLOYD",
"first_name": "JACQUELINE",
"middle_name": "STUART",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-10",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "UT10846260-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.