Active NPI
James Edward Fenton Jr., FNP
- Family Nurse Practitioner
- Clearfield, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11425353-4405
- Practice address
- 600 S State St Ste 2
Clearfield, UT 84015-1210 - Phone
- (385) 483-1003
- Fax
- (386) 222-7279
- NPI assigned
- Jul 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A155585 | IA | |
| Family Nurse Practitioner | 363LF0000X | 209.019352 | IL | |
| Family Nurse Practitioner | 363LF0000X | 11425353-4405 | UT | Primary |
Addresses
Primary practice location
600 S State St Ste 2
Clearfield, UT 84015-1210
Mailing address
3841 Westwood Dr
Pleasant View, UT 84414-1319
Phone (217) 779-3606
Other practice location 1
612 Main St
Keokuk, IA 52632-5450
Phone (319) 524-3339
Other practice location 2
612 Main St
Keokuk, IA 52632-5450
Phone (319) 524-3339
Other practice location 3
2351 Grant Ave Ste 201
Ogden, UT 84401
Phone (801) 317-8099
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
302 W 5400
Suite 200
Murray, UT 84107-8230
Phone (801) 456-2333
Hospital & facility affiliations
- Canyon Home Care
- Ability Home Health
- St Luke'S Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A155585 | IA | MD | Family Nurse Practitioner |
| 209.019352 | IL | MD | Family Nurse Practitioner |
| 11425353-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MMG LLC | Current | Accepting new patients | |
| MMG LLC | Current | Accepting new patients |
Locations
302 W 5400 S
Ste 201
Salt Lake City, UT 84107
Phone (801) 456-2333
302 W 5400 S
Ste 200
Salt Lake City, UT 84107
Phone (385) 297-9500
746 E Winchester St
Ste 230B
Salt Lake City, UT 84107
Phone (801) 456-2333
Interoperability endpoints
- james.fenton.1@28984.direct.athenahealth.com
- james.fenton@epsl-ut.direct.office.nextgen.com
Organizations & group practices 2
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.
-
- Nurse Practitioner
- Murray, UT
- NPI 1295392645
-
- Nurse Practitioner
- Bullhead City, AZ
- NPI 1811614225
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- South Jordan, UT
- NPI 1518558873
-
- Home Health Agency
- Murray, UT
- NPI 1306899265
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1114579596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 WESTWOOD DR",
"city": "PLEASANT VIEW",
"state": "UT",
"postal_code": "844141319",
"telephone_number": "217-779-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S STATE ST STE 2",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840151210",
"telephone_number": "385-483-1003",
"fax_number": "386-222-7279"
}
],
"practiceLocations": [
{
"address_1": "612 Main St",
"address_purpose": "LOCATION",
"city": "Keokuk",
"state": "IA",
"postal_code": "526325450",
"country_code": "US",
"telephone_number": "319-524-3339",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "612 Main St",
"address_purpose": "LOCATION",
"city": "Keokuk",
"state": "IA",
"postal_code": "526325450",
"country_code": "US",
"telephone_number": "319-524-3339",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2351 Grant Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Ogden",
"state": "UT",
"postal_code": "84401",
"country_code": "US",
"telephone_number": "801-317-8099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FENTON",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-15",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A155585",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.019352",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "11425353-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.