Individual provider Active NPI

Hitomi Nashiyama, APRN

  • Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1700077229
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5796226-4405 Issued in UT
Practice address
4421 Harrison Blvd Ste A12
Ogden, UT 84403-3174
Phone
(801) 387-3065
NPI assigned
Aug 8, 2007
Last updated
Apr 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5796226-4405 UT Primary
Family Health Clinical Nurse Specialist 364SF0001X 5796226-4405 UT

Addresses

Primary practice location

4421 Harrison Blvd Ste A12
Ogden, UT 84403-3174

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 233-4400

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
I20070808000468 UT Practitioner - Nurse Practitioner 0345331120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

4421 Harrison Blvd
Suite A6
Ogden, UT 84403-3174

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jul 14, 2022 Accepting new patients
Ihc Health Services Inc CurrentSince Jul 14, 2022 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

1316 N Highway 89
Farmington, UT 84025
Phone (801) 447-3361

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

1170 E Gentile St
Layton, UT 84040
Phone (801) 546-3497

980 E Fort Union Blvd
Midvale, UT 84047
Phone (801) 256-0532

1350 N 500 E
North Logan, UT 84341
Phone (435) 716-2800

4421 Harrison Blvd
Ste A12
Ogden, UT 84403
Phone (801) 387-3065

4421 Harrison Blvd
Ste A6
Ogden, UT 84403
Phone (801) 387-8400

3215 S Valley St
Salt Lake City, UT 84109
Phone (801) 466-3102

389 S 900 E
Slc, UT 84102
Phone (385) 282-2000

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.

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1700077229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-233-4400",
            "fax_number": "801-233-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 HARRISON BLVD STE A12",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033174",
            "telephone_number": "801-387-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASHIYAMA",
        "first_name": "HITOMI",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "5796226-4405",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "UT",
            "license": "5796226-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.