Active NPI
Catholic Health Initiatives Colorado
Doing business as Neuroscience & Rehabilitation West Jordan
- Neurology Physician
- West Jordan, UT
National Provider Identifier
1164124244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Doing business as
- Neuroscience & Rehabilitation West Jordan
- Practice address
- 3590 W 9000 S Ste 240
West Jordan, UT 84088-8864 - Phone
- (801) 505-5370
- Fax
- (801) 352-8459
- NPI assigned
- Mar 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angela J Skinner
- Title
- Administrator, Oma
- Phone
- (303) 673-7175
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | |||
| Neurology Physician | 2084N0400X | Primary | ||
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X |
Addresses
Primary practice location
3590 W 9000 S Ste 240
West Jordan, UT 84088-8864
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other names 3
- Neuroscience & Rehabilitation West Jordan
- CommonSpirit Neurology, Pain & Spine Jordan Valley
- Neurology, Pain & Spine Jordan Valley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230615001995 | UT | Part B Supplier - Clinic/Group Practice | 8022927342 |
Receives reassigned benefits from 168 practitioners This NPI is an additional NPI on the enrollment Practice locations: South Jordan, UT; West Jordan, UT; West Valley, UT; West Valley City, UT; Eagle Mountain, UT; Salt Lake City, UT; Cottonwood Heights, UT; Kaysville, UT… |
National Provider Directory
National Provider DirectoryLocations
3592 W 9000 S
Ste 210
West Jordan, UT 84088
Phone (801) 208-1050
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Salt Lake City, UT
- NPI 1437497849
-
- Cardiovascular Disease Physician
- Great Falls, MT
- NPI 1568447076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754956800000",
"number": "1164124244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 800022",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641800022",
"telephone_number": "800-953-0104",
"fax_number": "303-765-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3590 W 9000 S STE 240",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840888864",
"telephone_number": "801-505-5370",
"fax_number": "801-352-8459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-21",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR, OMA",
"authorized_official_telephone_number": "303-673-7175",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2084N0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Neuroscience & Rehabilitation West Jordan",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CommonSpirit Neurology, Pain & Spine Jordan Valley",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Neurology, Pain & Spine Jordan Valley",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Jordan, UT
- Cascade Dental Care Inc
- Jessica Castaneda-Romero
- Fabrienne Castro
- Catholic Health Initiatives Colorado (GTWJ Gastro W Jor)
- Catholic Health Initiatives Colorado (Oswj Ortho Sport W Jor)
- Catholic Health Initiatives Colorado (WCJD Wound Care Jordan)
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado (Cardiology Jordan Valley)
- Catholic Health Initiatives Colorado (The Disc Replacement Center)
- Catholic Health Initiatives Colorado (Imwj Int Med W Jor)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.