Active NPI
Dustin Keith Jones, APRN
- Family Nurse Practitioner
- Riverton, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7203996-4405
- Practice address
- 1756 W Park Ave
Riverton, UT 84065-4701 - Phone
- (801) 254-0309
- NPI assigned
- Jun 15, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 7203996-4405 | UT | Primary |
Addresses
Primary practice location
1756 W Park Ave
Riverton, UT 84065-4701
Mailing address
1756 W Park Ave
Riverton, UT 84065-4701
Phone (801) 893-1905
Other practice location 1
4095 E Pony Express Pkwy Ste 1
Eagle Mountain, UT 84005-5531
Phone (801) 429-8037
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7203996-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Health PC | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients |
Locations
4095 E Pony Express Pkwy
Ste 1
Eagle Mountain, UT 84005
Phone (801) 429-8037
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
1756 W Park Ave
Riverton, UT 84065
Phone (801) 254-0309
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Provo, UT
- NPI 1093764805
-
- Primary Care Clinic/Center
- Riverton, UT
- NPI 1932285186
-
- Multi-Specialty Clinic/Center
- Spanish Fork, UT
- NPI 1851142285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1083274724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1756 W PARK AVE",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840654701",
"telephone_number": "801-893-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1756 W PARK AVE",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840654701",
"telephone_number": "801-254-0309"
}
],
"practiceLocations": [
{
"address_1": "4095 E Pony Express Pkwy Ste 1",
"address_purpose": "LOCATION",
"city": "Eagle Mountain",
"state": "UT",
"postal_code": "840055531",
"country_code": "US",
"telephone_number": "801-429-8037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "DUSTIN",
"middle_name": "KEITH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-15",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "7203996-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.