DUKE FAMILY & WELLNESS
NPI 1104390111
Nurse Practitioner - Family in Ogden, UT

NPI Status: Active since January 14, 2019

Contact Information

2909 WASHINGTON BLVD STE 248
OGDEN, UT
ZIP 84401
Phone: (801) 603-3246
Fax: (801) 797-0235

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  • Organization
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • CLIA Number: 46D2243024
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-15-2025

About DUKE FAMILY & WELLNESS

This page provides the complete NPI Profile along with additional information for Duke Family & Wellness, a provider established in Ogden, Utah operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1104390111 assigned on January 2019. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated February 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Cynthia Lynn Hazelwood Fnp (Nurse Practioner)

NPI
1104390111
Provider Name
DUKE FAMILY & WELLNESS
Entity Type
Organization
Location Address
2909 WASHINGTON BLVD STE 248 OGDEN, UT 84401
Location Phone
(801) 603-3246
Location Fax
(801) 797-0235
Mailing Address
2909 WASHINGTON BLVD STE 248 OGDEN, UT 84401
Mailing Phone
(801) 603-3246
Mailing Fax
(801) 797-0235
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-14-2019
Last Update Date
02-20-2025
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A nurse practitioner (NP) like Duke Family & Wellness is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 1448 N 2000 W Ste 3
    Clinton, UT 84015
    (801) 695-7587

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CYNTHIA LYNN HAZELWOOD FNP

Authorized Official Title
NURSE PRACTIONER
Authorized Official Phone
(801) 695-7587

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2243024
Facility Type
Physician Office
Certificate Effective Date
November 16, 2023
Certificate Expiration Date
November 15, 2025
Laboratory Director
CYNTHIA HAZELWOOD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Duke Family & Wellness to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104390111
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210469012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 6 + 9 + 0 + 1 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1104390111 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104390111, enumerated in the NPI registry as an "organization" on January 14, 2019

The provider is located at 2909 Washington Blvd Ste 248 Ogden, Ut 84401 and the phone number is (801) 603-3246

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 46D2243024 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 14, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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