Jordan Taylor Burnett

Key facts

NPI

1003495110

Entity type

Individual (NPI type 1)

Primary specialty

Case Manager/Care Coordinator 171M00000X

Practice address

131 E 700 S
Salt Lake City, UT 84111-3805

Phone

(385) 500-3609

NPI assigned

Apr 6, 2021

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 6, 2021.

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1003495110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E 700 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113805",
            "telephone_number": "385-500-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E 700 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113805",
            "telephone_number": "385-500-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "JORDAN",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

• Tauna Burlingame, PHARMD
• Haylee Elisabeth Burnett
• Hazel Burnett
• Jamie Kearl Burnett, PA-C
• John Burnett IV
• Julie Burnett, PT, MS
• Matthew D Burnett, N.D. LAC.
• Rachel A. Burnett, N.D. LAC.
• Shawnee Burnett
• Sierra Anne Burnett, APRN, WHNP-NC

All providers in Salt Lake City, UT · Case Manager/Care Coordinator in Utah