Active NPI
Jeremy Hewitt, DNP, APRN, ACNP-BC
- Acute Care Nurse Practitioner
- West Jordan, UT
National Provider Identifier
1104174481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 281822-4405
- Practice address
- 9136 S Coppering Ave
West Jordan, UT 84081-4682 - Phone
- (801) 651-0011
- Fax
- (801) 280-1836
- NPI assigned
- Aug 17, 2012
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 281822-4405 | UT | Primary |
Addresses
Primary practice location
9136 S Coppering Ave
West Jordan, UT 84081-4682
Mailing address
9136 S Coppering Ave
West Jordan, UT 84081-4682
Phone (801) 651-0011
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1104174481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9136 S COPPERING AVE",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840814682",
"telephone_number": "801-651-0011",
"fax_number": "801-280-1836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9136 S COPPERING AVE",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840814682",
"telephone_number": "801-651-0011",
"fax_number": "801-280-1836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEWITT",
"first_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "DNP, APRN, ACNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-17",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "UT",
"license": "281822-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.