Jennifer Lyn Aragon, A.P.R.N.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

290041-4405 Issued in UT

Practice address

9980 S 300 W Ste 200
Sandy, UT 84070-3654

Phone

(385) 495-4151

Fax

(844) 596-0409

NPI assigned

Jun 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lyn Jacquez Former name

Medicare fee-for-service enrollment

Enrolled in UT, HI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RP Medical LLCGroup PAC ID 3779877485, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• RP Medical LLC

  dba Minit Medical Urgent Care Center

  • Urgent Care Clinic/Center
  • Kahului, HI
  • NPI 1982094652
  Medicare reassignment Care Compare group NPD
• Ming-Wei Wu, Inc

  dba Professional Wound Specialists

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1699975144

  UT

  Medicare reassignment NPD

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1073963922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 S 300 W STE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703654",
            "telephone_number": "385-495-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 S 300 W STE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703654",
            "telephone_number": "385-495-4151",
            "fax_number": "844-596-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAGON",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "A.P.R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "290041-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JACQUEZ",
            "middle_name": "LYN",
            "credential": "A.P.R.N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aperture Medical LLC
• Apex Orthodontics, LLC
• Apothecary Shop of Sandy Inc (Southwood Apothecary Shop)
• Apple Contact Lens Center Inc.
• Aragon Medical (Jennifer Aragon)
• Alfredo Jareth Aranda, DDS
• Joycelyn Araya
• Melissa Faye Archer, PHARMD
• Jacob Arellano, RBT
• Karla Arguello Cortes

• Family Nurse Practitioner in Sandy, UT
• Providers in Sandy, 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 Jan 17, 2020; 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.

Verify at the official NPI Registry.