Individual provider Active NPI

Kjarstena Marie Hooker, APRN, FNP-C

  • Family Nurse Practitioner
  • Orem, UT
National Provider Identifier
1790428241
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5508759-4405 Issued in UT
Practice address
1375 E 800 N Ste 202
Orem, UT 84097-4437
Phone
(801) 228-0617
NPI assigned
Apr 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5508759-8900 UT
Family Nurse Practitioner 363LF0000X 5508759-4405 UT Primary

Addresses

Primary practice location

1375 E 800 N Ste 202
Orem, UT 84097-4437

Mailing address

155 N Romney LN # V201
Pleasant Grove, UT 84062-6720
Phone (801) 427-3808

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
I20230407000295 UT Practitioner - Nurse Practitioner 1951776897

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5508759-8900UTMDFamily Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25864/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1790428241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N ROMNEY LN # V201",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840626720",
            "telephone_number": "801-427-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E 800 N STE 202",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974437",
            "telephone_number": "801-228-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOKER",
        "first_name": "KJARSTENA",
        "middle_name": "MARIE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5508759-8900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5508759-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.