Individual provider Active NPI

Kathleen Christenson Heslop, FNP-C

  • Family Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1811529233
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
369280-8900 Issued in UT
Practice address
4421 Harrison Blvd Ste A12
Ogden, UT 84403-3174
Phone
(801) 387-3065
Fax
(801) 387-3030
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 369280-8900 UT Primary

Addresses

Primary practice location

4421 Harrison Blvd Ste A12
Ogden, UT 84403-3174

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

485 E 500 S
Bountiful, UT 84010-3801
Phone (801) 299-4800

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kathleenheslop@sdch.com Health Information Exchange (HIE)

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
I20240205003938 UT Practitioner - Nurse Practitioner 8628411873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

4421 Harrison Blvd
Suite A12
Ogden, UT 84403-3174
Phone (801) 387-3065

Hospital & facility affiliations

  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
  • Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015
  • Bear River Valley Hospital Hospital, Tremonton, UT, CCN 460039
  • Intermountain Health Layton Hospital Hospital, Layton, UT, CCN 460061
  • Intermountain Health Sevier Valley Hospital Hospital, Richfield, UT, CCN 460026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
369280-8900UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Jan 1, 2024 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

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

1350 N 500 E
North Logan, UT 84341
Phone (435) 716-2800

4421 Harrison Blvd
Ste A12
Ogden, UT 84403
Phone (801) 387-3065

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1811529233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 HARRISON BLVD STE A12",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033174",
            "telephone_number": "801-387-3065",
            "fax_number": "801-387-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 E 500 S",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840103801",
            "country_code": "US",
            "telephone_number": "801-299-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESLOP",
        "first_name": "KATHLEEN",
        "middle_name": "CHRISTENSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "369280-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kathleenheslop@sdch.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "485 E 500 S",
            "city": "Bountiful",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840103801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.