Individual provider Active NPI

Jesse Stokes Lloyd, NP

  • Family Nurse Practitioner
  • Plain City, UT
National Provider Identifier
1912429887
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7669370-4405 Issued in UT
Practice address
3385 W 2525 N
Plain City, UT 84404-9228
Phone
(801) 644-5121
NPI assigned
Jul 12, 2017
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 7669370-4405 UT Primary

Addresses

Primary practice location

3385 W 2525 N
Plain City, UT 84404-9228

Mailing address

3385 W 2525 N
Plain City, UT 84404-9228
Phone (801) 644-5121

Other identifiers 1

IdentifierTypeStateIssuer
7669370-4405OtherUTLICENSE

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
I20171016003343 UT Practitioner - Nurse Practitioner 3779859913 Reassigns benefits to 1 organization
Practice locations: Ogden, UT

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3500 Harrison Blvd
Suite 200
Ogden, UT 84403-2038
Phone (385) 205-6618

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7669370-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jan 11, 2020 Accepting new patients
Ihc Health Services Inc CurrentSince Jan 11, 2020 Accepting new patients
Valor Medical Family Medicine Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Jlloydnp Family PastSince Jan 29, 2023 Accepting new patients
Mercury Medical LLC PastSince Aug 14, 2017 Accepting new patients

Locations

444 Hospital Way
Bldg 100
Pocatello, ID 83201
Phone (208) 238-3593

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

3500 Harrison Blvd
Ste 200
Ogden, UT 84403
Phone (801) 627-2225

4403 Harrison Blvd
Ste 3630
Ogden, UT 84403
Phone (801) 387-7900

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, 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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1912429887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 W 2525 N",
            "city": "PLAIN CITY",
            "state": "UT",
            "postal_code": "844049228",
            "telephone_number": "801-644-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 W 2525 N",
            "city": "PLAIN CITY",
            "state": "UT",
            "postal_code": "844049228",
            "telephone_number": "801-644-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "JESSE",
        "middle_name": "STOKES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7669370-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7669370-4405",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plain City, UT

Sources for this page

Verify at the official NPI Registry.