Individual provider Active NPI

Sarah Stocksdale, FNP-C

  • Family Nurse Practitioner
  • Orem, UT
National Provider Identifier
1649722893
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8000331-4405 Issued in UT
Practice address
1790 N State St
Orem, UT 84057-2025
Phone
(480) 305-3164
NPI assigned
Nov 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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 8000331-4405 UT Primary

Addresses

Primary practice location

1790 N State St
Orem, UT 84057-2025

Mailing address

1790 N State St
Orem, UT 84057-2025
Phone (888) 224-8250

Other identifiers 1

IdentifierTypeStateIssuer
8000331-4405OtherUTUTAH STATE NURSING LICENSE

Other names 1

  • Sarah Ray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8000331-4405UTMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1649722893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 N STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572025",
            "telephone_number": "888-224-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 N STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572025",
            "telephone_number": "480-305-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKSDALE",
        "first_name": "SARAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8000331-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH STATE NURSING LICENSE",
            "identifier": "8000331-4405",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "RAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.