Individual provider Active NPI

Trudy L. Hardin-Reynolds, DNP, APRN, FNP-BC

  • Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1710267877
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
176676-4405 Issued in UT
Practice address
825 Northcrest Dr
Salt Lake City, UT 84103-3320
Phone
(801) 355-0981
NPI assigned
Aug 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 176676-4405 UT Primary
Nurse Practitioner 363L00000X 176676-8900 UT
Nurse Practitioner 363L00000X MH2422373 UT

Addresses

Primary practice location

825 Northcrest Dr
Salt Lake City, UT 84103-3320

Mailing address

100 N. Mario Capecchi Drive
Pediatric Critical Care Services
Salt Lake City, UT 84113-1100
Phone (801) 662-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
176676-4405UTMDNurse Practitioner
176676-8900UTMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1710267877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N. MARIO CAPECCHI DRIVE",
            "address_2": "PEDIATRIC CRITICAL CARE SERVICES",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841131100",
            "telephone_number": "801-662-2400",
            "fax_number": "801-662-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NORTHCREST DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033320",
            "telephone_number": "801-355-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN-REYNOLDS",
        "first_name": "TRUDY",
        "middle_name": "L.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "176676-4405",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "176676-8900",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "MH2422373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.