Individual provider Active NPI

Joni Hamblin, FNP-BC

  • Family Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1376007237
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
50666444405 Issued in UT
Practice address
237 26TH St
Ogden, UT 84401-3105
Phone
(801) 625-3643
Fax
(801) 778-6814
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 50666444405 UT Primary

Addresses

Primary practice location

237 26TH St
Ogden, UT 84401-3105

Mailing address

237 26TH St
Ogden, UT 84401-3105
Phone (801) 625-3643

Other identifiers 1

IdentifierTypeStateIssuer
1043243140MedicaidUT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200107001649 UT Practitioner - Nurse Practitioner 9931441888 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weber Human ServicesGroup PAC ID 3274430244, 42 clinicians

Practice addresses (Care Compare)

237 26TH St
Ogden, UT 84401-3105
Phone (801) 625-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.24 of 100Reported as group
Quality
58.16
Promoting interoperability
0
Improvement activities
40
Cost
62.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
50666444405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Health LLC Family CurrentSince Sep 1, 2020 Accepting new patients
Weber Human Services Family Medicine CurrentSince Nov 3, 2019 Accepting new patients
Weber Human Services Current Accepting new patients

Locations

1481 E 1450 S
Clearfield, UT 84015
Phone (801) 397-4300

160 W 500 N
Heber City, UT 84032
Phone (435) 654-5500

1480 N 400 E
Logan, UT 84341
Phone (435) 750-5501

237 26th St
Ogden, UT 84401
Phone (801) 625-3605

55 S Professional Way
Payson, UT 84651
Phone (801) 465-9211

3419 W 12600 S
Riverton, UT 84065
Phone (801) 446-8400

835 E Vine St
Salt Lake City, UT 84107
Phone (801) 266-3852

85 E 2000 N
Tooele, UT 84074
Phone (435) 843-2000

4090 W Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 397-4400

598 W 900 S
Ste 105
Woods Cross, UT 84010
Phone (801) 693-4040

598 W 900 S
Ste 230
Woods Cross, UT 84010
Phone (385) 403-0410

598 W 900 S
Ste 220
Woods Cross, UT 84010
Phone (801) 693-2310

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1376007237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 26TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013105",
            "telephone_number": "801-625-3643",
            "fax_number": "801-778-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 26TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013105",
            "telephone_number": "801-625-3643",
            "fax_number": "801-778-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBLIN",
        "first_name": "JONI",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "50666444405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043243140",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.