Individual provider Active NPI

Jennifer Marie Hadley, DNP, AGACNP

  • Acute Care Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1184102212
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
379005-4405 Issued in UT
Practice address
1950 Circle of Hope Dr
Salt Lake City, UT 84112-5500
Phone
(801) 213-6215
NPI assigned
Jul 31, 2018
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 379005-4405 UT Primary
Family Nurse Practitioner 363LF0000X 379005-4405 UT

Addresses

Primary practice location

1950 Circle of Hope Dr
Salt Lake City, UT 84112-5500

Mailing address

3471 S 4800 W
West Haven, UT 84401-9643
Phone (801) 391-3762

Other practice location 1

425 S 100 W
Layton, UT 84041-5356
Phone (801) 773-4840

Other practice location 2

2121 N 1700 W
Layton, UT 84041-8803
Phone (801) 773-4840

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190228002777 UT Practitioner - Nurse Practitioner 2567701923 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanner Memorial ClinicGroup PAC ID 4284547985, 251 clinicians

Practice addresses (Care Compare)

2121 N 1700
Layton, UT 84041-8803
Phone (801) 773-4840

425 S 100
Layton, UT 84041-5356
Phone (801) 773-4840

5475 S 500
Ogden, UT 84405-6905
Phone (801) 479-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
379005-4405UTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Multi-Specialty Current Accepting new patients
University of Utah Adult Services Multi-Specialty CurrentSince Oct 28, 2018 Accepting new patients
Tanner Memorial Clinic Multi-Specialty Current Accepting new patients
Tanner Memorial Clinic Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients
Tanner Memorial Clinic CurrentSince Jun 1, 2025 Accepting new patients
Emergency Physicians Integrated Care, LLC Multi-Specialty CurrentSince Jul 1, 2021 Accepting new patients
University of Utah Adult Services Multi-Specialty CurrentSince Oct 28, 2018 Accepting new patients
Diabetes Relief Utah Ogden LLC Multi-Specialty CurrentSince Aug 18, 2018 Accepting new patients
Utah Home-Based Counseling LLC Multi-Specialty PastSince May 29, 2020 Accepting new patients

Locations

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

1756 W Antelope Dr
Layton, UT 84041
Phone (801) 525-8726

425 S 100 W
Layton, UT 84041
Phone (801) 682-8708

2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911

3451 W 5600 S
Roy, UT 84067
Phone (801) 896-5600

1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100

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

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • Direct secure messaging: jennifer.hadley.p1@direct.tannerclinic.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1184102212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 S 4800 W",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844019643",
            "telephone_number": "801-391-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 CIRCLE OF HOPE DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125500",
            "telephone_number": "801-213-6215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 S 100 W",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840415356",
            "country_code": "US",
            "telephone_number": "801-773-4840",
            "fax_number": "801-525-8151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 N 1700 W",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840418803",
            "country_code": "US",
            "telephone_number": "801-773-4840",
            "fax_number": "801-525-8151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DNP, AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "379005-4405",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "379005-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.