Active NPI
Jennifer Holt Edwards, MD
- Critical Care Medicine (Internal Medicine) Physician
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 9518893-1205
- Practice address
- Intermountain Medical Center, Critical Care Medicine
5121 Cottonwood Street
Murray, UT 84107 - Phone
- (801) 507-4238
- NPI assigned
- Dec 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | LL17891 | OR | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 9518893-1205 | UT | Primary |
Addresses
Primary practice location
Intermountain Medical Center, Critical Care Medicine
5121 Cottonwood Street
Murray, UT 84107
Mailing address
Intermountain Medical Center
5121 Cottonwood Street
Murray, UT 84107
Phone (801) 507-4238
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Virginia School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
5121 S Cottonwood St
Murray, UT 84107-5701
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL17891 | OR | MD | Emergency Medicine Physician |
| 9518893-1205 | UT | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services, Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Critical Care Medicine | Current | Accepting new patients |
Locations
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111
Organizations & group practices 5
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.
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Dixie Pulmonary Critical Care
- Pulmonary Disease Physician
- St George, UT
- NPI 1477821304
Critical Care Medicine
-
- Family Medicine Physician
- Provo, UT
- NPI 1558404426
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Intermountain Medical Center
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1144465402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "INTERMOUNTAIN MEDICAL CENTER",
"address_2": "5121 COTTONWOOD STREET",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-507-4238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "INTERMOUNTAIN MEDICAL CENTER, CRITICAL CARE MEDICINE",
"address_2": "5121 COTTONWOOD STREET",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-507-4238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JENNIFER",
"middle_name": "HOLT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-15",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "LL17891",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "UT",
"license": "9518893-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
- Alexanderia Lyn Edens, RBT
- Candice Edgar, PTA
- Nicholas Blaine Edman, AGACNP
- Christopher McKay Edmunds, DMD
- Jill Edmunds
- Rebekah Catherine Edwards, DO
- Sarah Edwards
- Lauren Renae Eekhoff, MS, LCGC
- Eggal Home Care, LLC (Assisting Hands Greater Murray)
- Eh Home Health of the West, LLC (Enhabit Home Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.