Individual provider Active NPI

Shayley Rae Dockstader, FNP-BC

  • Family Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1609514496
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9030570-4405 Issued in UT
Practice address
5475 S 500 E
Ogden, UT 84405-6905
Phone
(801) 479-2111
NPI assigned
May 23, 2022
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9030570-4405 UT Primary
Nurse Practitioner 363L00000X 90305704405 UT

Addresses

Primary practice location

5475 S 500 E
Ogden, UT 84405-6905

Mailing address

5475 S 500 E
Ogden, UT 84405-6905
Phone (801) 479-2111

Other practice location 1

4403 Harrison Blvd Ste 4410
Ogden, UT 84403-3323
Phone (801) 387-7945

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
I20220711000802 UT Practitioner - Nurse Practitioner 2769862598 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

4403 Harrison Blvd
Suite 2835
Ogden, UT 84403-3327
Phone (801) 387-7945

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90305704405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Feb 23, 2025 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Gregory Iverson Family Medicine, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Jun 27, 2022 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Jun 27, 2022 Accepting new patients
Ihc Health Services, Inc. CurrentSince Feb 23, 2025 Accepting new patients
Gregory Iverson Family Medicine PLLC CurrentSince Oct 1, 2025 Accepting new patients
Ihc Health Services Inc Nurse Practitioner Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

142 S 50 E
Coalville, UT 84017
Phone (435) 336-4403

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

228 W 200 S
Kamas, UT 84036
Phone (435) 513-2270

201 W Layton Pkwy
Ste 1B
Layton, UT 84041
Phone (801) 543-6775

4403 Harrison Blvd
Ste 4410
Ogden, UT 84403
Phone (801) 387-2550

4403 Harrison Blvd
Ste 2835
Ogden, UT 84403
Phone (801) 387-7945

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

Interoperability endpoints

  • Direct secure messaging: shayley.dockstader.1@27548.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1609514496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 S 500 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056905",
            "telephone_number": "801-479-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 S 500 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056905",
            "telephone_number": "801-479-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4403 Harrison Blvd Ste 4410",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844033323",
            "country_code": "US",
            "telephone_number": "801-387-7945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCKSTADER",
        "first_name": "SHAYLEY",
        "middle_name": "RAE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9030570-4405",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "90305704405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.