Individual provider Active NPI

Skyler Talbot, FNP

  • Urgent Care Clinic/Center
  • Logan, UT
National Provider Identifier
1710646120
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Practice address
630 E 1400 N Ste 150
Logan, UT 84341-2549
Phone
(435) 915-4465
NPI assigned
Dec 13, 2021
Last updated
Dec 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Occupational Medicine Clinic/Center 261QX0100X
Primary Care Nurse Practitioner 363LP2300X 9431214-4405 UT

Addresses

Primary practice location

630 E 1400 N Ste 150
Logan, UT 84341-2549

Mailing address

740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone (208) 542-9111

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL stalbot@sterlingm.net Direct Sterling Provider Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220401001410 UT Practitioner - Nurse Practitioner 1153717087 Reassigns benefits to 1 organization
I20240424003069 WY Practitioner - Nurse Practitioner 1153717087 Reassigns benefits to 1 organization
I20240503001135 ID Practitioner - Nurse Practitioner 1153717087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Provider GroupGroup PAC ID 2264773373, 52 clinicians

Practice addresses (Care Compare)

2761 Commercial Way
Rock Springs, WY 82901-4753
Phone (307) 382-3064

5605 Northside Xing
Chubbuck, ID 83202-2431
Phone (208) 547-5062

630 E 1400
Suite 150
Logan, UT 84341-2549
Phone (435) 915-4465

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Provider Group Urgent Care CurrentSince Dec 28, 2021 Accepting new patients
Urgent Care Associates PLLC Current Accepting new patients
Sterling Provider Group Urgent Care CurrentSince Dec 28, 2021 Accepting new patients

Locations

10965 W Overland Rd
Boise, ID 83709
Phone (208) 900-9901

1129 S Broadway Ave
Boise, ID 83706
Phone (208) 795-9790

6965 N Glenwood St
Boise, ID 83714
Phone (208) 853-3000

1404 Pomerelle Ave
Ste A1
Burley, ID 83318
Phone (208) 878-8783

5605 Northside Xing
Chubbuck, ID 83202
Phone (208) 547-5062

507 S Main St
Hailey, ID 83333
Phone (208) 788-0061

7017 Daisy Ln
Idaho Falls, ID 83402
Phone (208) 534-5878

740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111

2201 Thain Grade
Lewiston, ID 83501
Phone (208) 717-3100

1693 S Meridian Rd
#110
Meridian, ID 83642

3185 E Ustick Rd
Meridian, ID 83646
Phone (208) 296-7100

1610 Caldwell Blvd
Nampa, ID 83651
Phone (208) 207-8500

900 N Highway 41
Ste 2
Post Falls, ID 83854
Phone (208) 457-7100

130 W Main St
Rexburg, ID 83440
Phone (208) 356-8818

939 S Highway 89
Ste 1
Logan, UT 84321
Phone (435) 787-8504

630 E 1400 N
Ste 150
North Logan, UT 84341
Phone (435) 787-8504

609 S Highway 91
Ste A
Richmond, UT 84333

47 Doc Perkes
Afton, WY 83110
Phone (307) 734-5864

1952 Harrison Dr
Evanston, WY 82930
Phone (307) 288-0404

2761 Commercial Way
Rock Springs, WY 82901
Phone (307) 382-3064

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": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1710646120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015285",
            "telephone_number": "208-542-9111",
            "fax_number": "208-542-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E 1400 N STE 150",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412549",
            "telephone_number": "435-915-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "SKYLER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "9431214-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stalbot@sterlingm.net",
            "affiliation": "Y",
            "endpointDescription": "HIPAA compliant company URL",
            "affiliationName": "Sterling Provider Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPAA compliant company URL",
            "address_1": "740 S Woodruff Ave",
            "city": "Idaho Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834015285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.