Individual provider Active NPI

Cindie G Dodenbier, APRN, FNP-BC

  • Nurse Practitioner
  • Kaysville, UT
National Provider Identifier
1578565263
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
268700-4400 Issued in UT
Practice address
275 W 200 N
Suite 7
Kaysville, UT 84037-1861
Phone
(801) 546-1300
Fax
(801) 546-1301
NPI assigned
Aug 11, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 268700-4400 UT Primary

Addresses

Primary practice location

275 W 200 N
Suite 7
Kaysville, UT 84037-1861

Mailing address

PO Box 338
Altamont, UT 84001-0338
Phone (801) 452-1066

Other identifiers 3

IdentifierTypeStateIssuer
0360606OtherUTFNP-BC CERTIFICATION
268700-4405OtherUTPROFESSIONAL LICENSE
U000087610OtherUTLSPM PTAN

Other names 1

  • Cindie G Hunt Former name

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
I20031216000231 UT Practitioner - Nurse Practitioner 5698672947 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268700-4400UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
C & B Family Practice PastSince Mar 9, 2020 Accepting new patients
Northern Utah Nephrology, LLC Past Accepting new patients
Omega Interventional Pain PLLC Past Accepting new patients
Lifetree Medical Inc Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1578565263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "ALTAMONT",
            "state": "UT",
            "postal_code": "840010338",
            "telephone_number": "801-452-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W 200 N",
            "address_2": "SUITE 7",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371861",
            "telephone_number": "801-546-1300",
            "fax_number": "801-546-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODENBIER",
        "first_name": "CINDIE",
        "middle_name": "G",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "268700-4400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP-BC CERTIFICATION",
            "identifier": "0360606",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "268700-4405",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSPM PTAN",
            "identifier": "U000087610",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDIE",
            "last_name": "HUNT",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kaysville, UT

Sources for this page

Verify at the official NPI Registry.