Valdar LLC
NPI 1336619675ActiveOrganization· Nurse Practitioner, Family· Bountiful, UT
Nurse Practitioner, Family in Bountiful, Utah, registered in NPPES in November 2018, part of Valdar LLC. The authorized official on file is Valarie D. Jacobs, DNP, APRN FNP-BC, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336619675 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Valdar LLC |
| NPI issued | Nov 29, 2018 |
| Last updated in NPPES | Mar 7, 2024 |
| Certified by provider | Mar 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Home Health | 251E00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
| Skilled Nursing Facility | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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