Individual provider Active NPI

Breeonah Elaine Sherriff, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • South Jordan, UT
National Provider Identifier
1023803624
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11741741-4405 Issued in UT
Practice address
10836 S Gresham Dr
South Jordan, UT 84009-6228
Phone
(801) 842-4451
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11741741-8900 UT
Family Nurse Practitioner 363LF0000X 11741741-4405 UT Primary

Addresses

Primary practice location

10836 S Gresham Dr
South Jordan, UT 84009-6228

Mailing address

10836 S Gresham Dr
South Jordan, UT 84009-6228
Phone (801) 842-4451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11741741-4405UTMDFamily Nurse Practitioner
11741741-8900UTMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1023803624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10836 S GRESHAM DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840096228",
            "telephone_number": "801-842-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10836 S GRESHAM DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840096228",
            "telephone_number": "801-842-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRIFF",
        "first_name": "BREEONAH",
        "middle_name": "ELAINE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11741741-8900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11741741-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.