Individual provider Active NPI

Jennifer K Workman, M.D.

  • Pediatric Critical Care Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1144474768
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
7468509-1205 Issued in UT
Practice address
100 N Mario Capecchi Drive
Pediatric Crtical Care, Primary Children'S Hospital
Salt Lake City, UT 84113
Phone
(801) 662-2465
NPI assigned
Nov 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 7468509-1205 UT
Pediatric Critical Care Medicine Physician 2080P0203X 7468509-1205 UT Primary

Addresses

Primary practice location

100 N Mario Capecchi Drive
Pediatric Crtical Care, Primary Children'S Hospital
Salt Lake City, UT 84113

Mailing address

Dept of Peds, Div of Critical Care, Williams Building
PO Box 581289
Salt Lake City, UT 84158
Phone (801) 587-7572

Other names 1

  • Jennifer Kate Levin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlevin36879@direct.med.utah.edu Direct University of Utah

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140715002655 UT Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 5597995878 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7468509-1205UTMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Pediatric Acuity Care CurrentSince Apr 9, 2019 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
University of Utah Pediatric Acuity Care Pediatric Critical Care Medicine Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Apr 7, 2019 Accepting new patients
Ihc Health Services Inc CurrentSince Apr 7, 2019 Accepting new patients
University of Utah Pediatric Acuity Care CurrentSince Apr 9, 2019 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

127 S 500 E
Ste 600
Slc, UT 84102

Interoperability endpoints

  • Direct secure messaging: jlevin36879@direct.med.utah.edu

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1144474768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT OF PEDS, DIV OF CRITICAL CARE, WILLIAMS BUILDING",
            "address_2": "PO BOX 581289",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84158",
            "telephone_number": "801-587-7572",
            "fax_number": "801-581-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MARIO CAPECCHI DRIVE",
            "address_2": "PEDIATRIC CRTICAL CARE, PRIMARY CHILDREN'S HOSPITAL",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84113",
            "telephone_number": "801-662-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "7468509-1205",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "UT",
            "license": "7468509-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlevin36879@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LEVIN",
            "middle_name": "KATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.