Sydney Nuttall, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10376616-4405 Issued in UT

Practice address

2177 E Dunyon St Ste 103
Eagle, ID 83616-1048

Phone

(801) 310-1721

NPI assigned

Mar 30, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1265372213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 E DUNYON ST STE 103",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836161048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 E DUNYON ST STE 103",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836161048",
            "telephone_number": "801-310-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTALL",
        "first_name": "SYDNEY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10376616-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jelena Nikolic
• Shawn Helmer Nord, D.C.
• North Haven Aesthetics & Wellness PLLC
• North Star Charter School
• Shawn Christian Nowierski, MD
• Nview Behavioral Health Clinic of Idaho LLC
• Erin Rae O'Brien
• Oasis Pediatrics
• Amy Ochs, M.S., CCC-SLP
• Crystal Noel Odegard, PA-C

• Family Nurse Practitioner in Eagle, ID
• Providers in Eagle, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.