Individual provider Active NPI

Sharlene Bailey Thomson, RN

  • Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1790544468
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
289186-4405 Issued in UT
Practice address
3875 Stadium Way Dept 3903
Ogden, UT 84408-3903
Phone
(801) 626-7833
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 289186-3102 UT
Nurse Practitioner 363L00000X 289186-4405 UT Primary

Addresses

Primary practice location

3875 Stadium Way Dept 3903
Ogden, UT 84408-3903

Mailing address

3379 S 800 W
Syracuse, UT 84075-8002
Phone (801) 529-2559

Other names 1

  • Sharlene Bailey Former name

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
I20250625004098 UT Practitioner - Nurse Practitioner 6901318732 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289186-3102UTMDGeneral Practice Registered Nurse
289186-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gadzoom Health LLC CurrentSince May 15, 2025 Accepting new patients

Locations

3401 N Thanksgiving Way
Ste 190
Lehi, UT 84048
Phone (385) 454-5027

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1790544468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 S 800 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840758002",
            "telephone_number": "801-529-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 STADIUM WAY DEPT 3903",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844083903",
            "telephone_number": "801-626-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "SHARLENE",
        "middle_name": "BAILEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "UT",
            "license": "289186-3102",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "289186-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARLENE",
            "last_name": "BAILEY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.