Individual provider Active NPI

Jerrie L Seigle, LVN

  • Licensed Practical Nurse
  • Orem, UT
National Provider Identifier
1275635302
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
11829211-3101 Issued in UT
Practice address
714 S State St
Orem, UT 84058-6366
Phone
(801) 426-6565
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN 178624 CA
Licensed Practical Nurse 164W00000X 11829211-3101 UT Primary

Addresses

Primary practice location

714 S State St
Orem, UT 84058-6366

Mailing address

714 S State St
Orem, UT 84058-6366
Phone (801) 426-6565

Other names 1

  • Mrs. Jerrie L Seigle Former name

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

State licenses

LicenseStateTypeSpecialty
11829211-3101UTMDLicensed Practical Nurse
VN 178624CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery House UC, Inc PastSince Nov 20, 2022 Accepting new patients

Organizations & group practices 1

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1275635302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586366",
            "telephone_number": "801-426-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586366",
            "telephone_number": "801-426-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIGLE",
        "first_name": "JERRIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 178624",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "UT",
            "license": "11829211-3101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRIE",
            "last_name": "SEIGLE",
            "middle_name": "L",
            "prefix": "MRS.",
            "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 Nov 17, 2022; 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.