JILL STRATFORD WALDRON APRN GNP-BC NPI 1083852677

NPI Information

  • NPI: 1083852677
  • Provider Name: JILL STRATFORD WALDRON, APRN, GNP-BC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 50 NORTH MEDICAL DRIVE
    UNIVERSITY OF UTAH CARDIOLOGY CLINIC #10
    SALT LAKE CITY, UT
    ZIP 84132
  • Phone: (801) 585-5122

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NPI Details

Jill Stratford Waldron, APRN, GNP-BC is a gerontology nurse practitioner in Salt Lake City, UT with 21 years of experience. Jill Stratford Waldron, APRN, GNP-BC NPI is 1083852677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

50 NORTH MEDICAL DRIVE
UNIVERSITY OF UTAH CARDIOLOGY CLINIC #10
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 585-5122
Fax: (801) 585-2319

The NPI 1083852677 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS:G2212)

The enumeration date for this NPI number is 2/4/2009 and was last updated on 12/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology2794904405UTAHNo
2363LG0600XNurse PractitionerGerontology279490-4405/APRNUTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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