Individual provider Active NPI

Sidney Hunt, FNP-C

  • Family Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1619540564
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5915376-4405 Issued in UT
Practice address
4240 Harrison Blvd
Ogden, UT 84403-3102
Phone
(801) 621-2610
NPI assigned
Jul 20, 2021
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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 5915376-4405 UT Primary
Registered Nurse 163W00000X 5915376-3102 UT

Addresses

Primary practice location

4240 Harrison Blvd
Ogden, UT 84403-3102

Mailing address

484 Petersen Pkwy
South Weber, UT 84405-7189
Phone (801) 644-0531

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
I20211019002720 UT Practitioner - Nurse Practitioner 2567500630 Reassigns benefits to 2 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
Green River Radiology PCGroup PAC ID 5294123063, 23 clinicians

Practice addresses (Care Compare)

1178 E Brickyard Rd
Salt Lake City, UT 84106-2555
Phone (801) 563-0333

12842 S 3600
Suite 100
Riverton, UT 84065-6853
Phone (385) 253-4586

1982 W Pleasant Grove Blvd
Suite L
Pleasant Grove, UT 84062-3268
Phone (801) 563-0333

556 S 1750
Springville, UT 84663-3088
Phone (385) 398-7900

6030 Fashion Point Dr
South Ogden, UT 84403-4851
Phone (801) 563-0333

6243 S Redwood Rd
Suite 130
Taylorsville, UT 84123-6408
Phone (801) 869-5630

729 King St
Suite 100
Layton, UT 84041-4681
Phone (801) 563-0333

Merit-based Incentive Payment System (MIPS)

Final score
76.69 of 100Reported as group
Quality
50.27
Improvement activities
40
Cost
55.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5915376-3102UTMDRegistered Nurse
5915376-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Green River Radiology, P.C. CurrentSince May 1, 2024 Accepting new patients
Careconnectmd Utah PC CurrentSince Feb 1, 2025 Accepting new patients
Gadzoom Health LLC CurrentSince Dec 24, 2023 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

6975 S Union Park Ctr
Fl 6
Cottonwood Heights, UT 84047

3401 N Thanksgiving Way
Ste 190
Lehi, UT 84048
Phone (385) 454-5027

12842 S 3600 W
Ste 100
Riverton, UT 84065
Phone (385) 253-4586

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1619540564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 PETERSEN PKWY",
            "city": "SOUTH WEBER",
            "state": "UT",
            "postal_code": "844057189",
            "telephone_number": "801-644-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033102",
            "telephone_number": "801-621-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "SIDNEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5915376-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "5915376-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.