Joshua Jorgensen, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10875702-4405 Issued in UT

Practice address

1327 E 2100 S Ste 101
Salt Lake City, UT 84105-3763

Phone

(801) 946-3399

Fax

(385) 267-1191

NPI assigned

Mar 30, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Identity Hormones Ut LLC

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1669104402
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1013657014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 E 2100 S STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053763",
            "telephone_number": "801-946-3399",
            "fax_number": "385-267-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 E 2100 S STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053763",
            "telephone_number": "801-946-3399",
            "fax_number": "385-267-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "JOSHUA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10875702-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Q Jorgensen, PH.D.
• Heidie Jane Jorgensen
• Jercie Jorgensen
• Jon Jorgensen
• Jonathan Arthur Jorgensen
• Katie Jorgensen
• Lynn H Jorgensen, LCSW
• Tara Jorgensen, M.S., CCC-SLP
• Teemarie Jorgensen, AU.D, CCC-A
• Whitney Jorgensen, LCSW

• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.