Individual provider Active NPI

Jodi M Olson, ACNP

  • Acute Care Nurse Practitioner
  • Murray, UT
National Provider Identifier
1740583863
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
198921-3102 Issued in UT
Practice address
308 E 4500 S Ste 175
Murray, UT 84107-3977
Phone
(801) 685-7700
NPI assigned
Dec 11, 2010
Last updated
Jun 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 198921-3102 UT Primary

Addresses

Primary practice location

308 E 4500 S Ste 175
Murray, UT 84107-3977

Mailing address

10730 S 1120 E
Sandy, UT 84094-5091
Phone (801) 685-7700

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
I20110523000655 UT Practitioner - Nurse Practitioner 8527244748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

5171 S Cottonwood St
Suite 810
Murray, UT 84107-5705
Phone (801) 507-9800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jan 7, 2018 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Ihc Health Services Inc CurrentSince Sep 27, 2023 Accepting new patients
University of Utah Adult Services CurrentSince Dec 15, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Dec 15, 2015 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Jan 7, 2018 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Liberty Dialysis-Woods Cross LLC Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Ihc Health Services Inc Physical Medicine & Rehabilitation Past Accepting new patients
Family First Care Past Accepting new patients

Locations

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

5171 S Cottonwood St
Ste 210
Salt Lake City, UT 84107

5171 S Cottonwood St
Ste 810
Salt Lake City, UT 84107
Phone (801) 507-9800

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

5770 S 250 E
Ste 135
Salt Lake Cty, UT 84107
Phone (801) 263-3416

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Organizations & group practices 12

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": "1292025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1740583863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 S 1120 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840945091",
            "telephone_number": "801-685-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E 4500 S STE 175",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841073977",
            "telephone_number": "801-685-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JODI",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-11",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "198921-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.