Individual provider Active NPI

Alexis Nicholas

  • Family Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1629848437
Registry record updated Jan 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13747424-4405 Issued in UT
Practice address
1920 W 250 N Ste 2
Ogden, UT 84404-9234
Phone
(385) 289-2088
NPI assigned
Jan 3, 2024
Last updated
Jan 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2026

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 13747424-4405 UT Primary

Addresses

Primary practice location

1920 W 250 N Ste 2
Ogden, UT 84404-9234

Mailing address

1920 W 250 N Ste 2
Ogden, UT 84404-9234
Phone (385) 289-2088

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
I20240415003580 UT Practitioner - Nurse Practitioner 0446699003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

520 Medical Dr
Suite 300
Bountiful, UT 84010-4968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13747424-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ageless Womens Health Ut LLC CurrentSince Nov 30, 2025 Accepting new patients
Joshua Oaks MD PLLC Past Accepting new patients

Locations

1920 W 250 N
Ste 2
Ogden, UT 84404
Phone (385) 289-2088

Interoperability endpoints

  • Direct secure messaging: alexis.nicholas.1@16218.direct.athenahealth.com

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": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769299200000",
    "number": "1629848437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 W 250 N STE 2",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844049234",
            "telephone_number": "385-289-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 W 250 N STE 2",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844049234",
            "telephone_number": "385-289-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2026-01-25",
        "certification_date": "2026-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "13747424-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.