Individual provider Active NPI

Lovenia M Stam, APRN

  • Family Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1982621660
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2247694405 Issued in UT
Practice address
4401 Harrison Blvd
Ogden, UT 84403
Phone
(801) 387-7074
NPI assigned
Jul 17, 2006
Last updated
Oct 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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 2247694405 UT Primary

Addresses

Primary practice location

4401 Harrison Blvd
Ogden, UT 84403

Mailing address

3034 N 1375 E
North Ogden, UT 84414
Phone (801) 737-2378

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
I20040426001580 UT Practitioner - Nurse Practitioner 2264429950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

3890 Medical Dr
Ogden, UT 84403-2319
Phone (801) 387-7678

4401 Harrison Blvd
Ogden, UT 84403-3195

4403 Harrison Blvd
Suite 2600
Ogden, UT 84403-3277
Phone (801) 378-7450

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2247694405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Oct 15, 2018 Accepting new patients
Ihc Health Services Inc CurrentSince Oct 15, 2018 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Davis Hospital Holdings, Inc. Past Accepting new patients

Locations

1316 N Highway 89
Farmington, UT 84025
Phone (801) 447-3361

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

1170 E Gentile St
Layton, UT 84040
Phone (801) 546-3497

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

980 E Fort Union Blvd
Midvale, UT 84047
Phone (801) 256-0532

4403 Harrison Blvd
Ste 2600
Ogden, UT 84403
Phone (801) 378-7450

4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1982621660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 N 1375 E",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "84414",
            "telephone_number": "801-737-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84403",
            "telephone_number": "801-387-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAM",
        "first_name": "LOVENIA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "2247694405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.