Active NPI
Ashlyn Rudd McClellan, FNP
- Family Nurse Practitioner
- South Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 14037948-4405
- Practice address
- 406 W South Jordan Pkwy Ste 450
South Jordan, UT 84095-3946 - Phone
- (801) 919-3008
- NPI assigned
- Sep 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 14037948-4405 | UT | Primary |
Addresses
Primary practice location
406 W South Jordan Pkwy Ste 450
South Jordan, UT 84095-3946
Mailing address
1055 N 500 W Attn Credentialing
Provo, UT 84604
Phone (801) 354-8225
Other practice location 1
1055 N 500 W Ste 111
Provo, UT 84604-3305
Phone (801) 374-8999
Other practice location 2
1140 W Hidden Spring Dr
Santaquin, UT 84655-4665
Phone (801) 361-1408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
406 W S Jordan Pkwy
Suite 450
South Jordan, UT 84095-3946
Phone (801) 561-8398
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11636023-3102 | UT | MD | Registered Nurse |
| 14037948-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Togo Healthcare LLC | Single Specialty | Current | Accepting new patients |
Locations
406 W South Jordan Pkwy
Ste 450
South Jordan, UT 84095
Phone (801) 561-8398
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1063239119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 500 W ATTN CREDENTIALING",
"city": "PROVO",
"state": "UT",
"postal_code": "84604",
"telephone_number": "801-354-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 W SOUTH JORDAN PKWY STE 450",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840953946",
"telephone_number": "801-919-3008"
}
],
"practiceLocations": [
{
"address_1": "1055 N 500 W Ste 111",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846043305",
"country_code": "US",
"telephone_number": "801-374-8999",
"fax_number": "801-429-8063",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1140 W Hidden Spring Dr",
"address_purpose": "LOCATION",
"city": "Santaquin",
"state": "UT",
"postal_code": "846554665",
"country_code": "US",
"telephone_number": "801-361-1408",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLELLAN",
"first_name": "ASHLYN",
"middle_name": "RUDD",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-20",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "14037948-4405",
"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 Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.