Active NPI
Kandice Rose Nielson, M.D.
- Obstetrics & Gynecology Physician
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 829812-1205
- Practice address
- 4403 Harrison Blvd Ste 4815
Ogden, UT 84403-3333 - Phone
- (801) 387-8350
- Fax
- (801) 387-8355
- NPI assigned
- Apr 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 829812-1205 | UT | Primary |
Addresses
Primary practice location
4403 Harrison Blvd Ste 4815
Ogden, UT 84403-3333
Mailing address
PO Box 27128
Ste 340
Salt Lake City, UT 84127-0128
Phone (801) 706-4888
Other practice location 1
620 Medical Dr.
Ste 340
Bountiful, UT 84010
Phone (801) 299-2229
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kandice.nielson@direct.imail.org |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Geisel School of Medicine at Dartmouth, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4403 Harrison Blvd
Suite 4875
Ogden, UT 84403-3335
Phone (801) 387-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 829812-1205 | UT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Lakeview Hospital Physician Services LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Joshua Oaks MD PLLC | Past | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
4403 Harrison Blvd
Ste 4815
Ogden, UT 84403
Phone (801) 387-8350
4403 Harrison Blvd
Ste 4875
Ogden, UT 84403
Phone (801) 387-4500
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Multi-Specialty Clinic/Center
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- Family Medicine Physician
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- NPI 1023456589
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- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
-
- Internal Medicine Physician
- Bountiful, UT
- NPI 1184125668
-
- Obstetrics & Gynecology Physician
- Bountiful, UT
- NPI 1932112448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1720252513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"address_2": "STE 340",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-706-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 HARRISON BLVD STE 4815",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033333",
"telephone_number": "801-387-8350",
"fax_number": "801-387-8355"
}
],
"practiceLocations": [
{
"address_1": "620 Medical Dr.",
"address_2": "Ste 340",
"address_purpose": "LOCATION",
"city": "Bountiful",
"state": "UT",
"postal_code": "84010",
"country_code": "US",
"telephone_number": "801-299-2229",
"fax_number": "801-299-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIELSON",
"first_name": "KANDICE",
"middle_name": "ROSE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-14",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "829812-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kandice.nielson@direct.imail.org",
"affiliation": "N",
"address_1": "620 Medical Dr.",
"address_2": "Ste 340",
"city": "Bountiful",
"state": "UT",
"country_code": "US",
"postal_code": "84010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.