Individual provider Active NPI

Robin Hoglund, NP-C

  • Family Nurse Practitioner
  • Logan, UT
National Provider Identifier
1700627924
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7844524-4405 Issued in UT
Practice address
1191 Sumac Dr
Logan, UT 84321-4815
Phone
(435) 760-8862
NPI assigned
Jun 3, 2024
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 7844524-4405 UT Primary

Addresses

Primary practice location

1191 Sumac Dr
Logan, UT 84321-4815

Mailing address

1191 Sumac Dr
Logan, UT 84321-4815
Phone (435) 760-8862

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
I20240614003313 UT Practitioner - Nurse Practitioner 1951844208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Kidney Clinic LLCGroup PAC ID 7719306091, 6 clinicians

Practice addresses (Care Compare)

4345 Harrison Blvd
Suite 101
Ogden, UT 84403-3103
Phone (385) 350-8500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Kidney Clinic LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

480 N 100 E
Logan, UT 84321
Phone (435) 932-2038

480 N 100 E
Ste 110
Logan, UT 84321
Phone (435) 932-2038

4345 Harrison Blvd
#101
Ogden, UT 84403
Phone (385) 350-8500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19427/brand/1/csg/1/fhir/r4
  • Direct secure messaging: robin.hoglund.1@19427.direct.athenahealth.com

Organizations & group practices 1

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 5

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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1700627924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 SUMAC DR",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214815",
            "telephone_number": "435-760-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 SUMAC DR",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214815",
            "telephone_number": "435-760-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGLUND",
        "first_name": "ROBIN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7844524-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.