Active NPI
Allyce Katie Jones, PMHNP-BC, APRN
- Psychiatric/Mental Health Nurse Practitioner
- South Jordan, UT
National Provider Identifier
1194084269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 7935706-4405
- Practice address
- 1309 W South Jordan Pkwy Ste 210
South Jordan, UT 84095 - Phone
- (801) 893-9564
- Fax
- (801) 893-9062
- NPI assigned
- May 10, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 7935706-4405 | UT | Primary |
Addresses
Primary practice location
1309 W South Jordan Pkwy Ste 210
South Jordan, UT 84095
Mailing address
1309 W South Jordan Pkwy Ste 210
South Jordan, UT 84095-9002
Phone (801) 893-9564
Other practice location 1
11100 Euclid Ave
Cleveland, OH 44106
Phone (216) 844-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7935706-4405 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Felicity Womens Center | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
12587 S Fort St
Ste 202
Draper, UT 84020
Phone (801) 893-9564
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Draper, UT
- NPI 1629855051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1194084269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 W SOUTH JORDAN PKWY STE 210",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840959002",
"telephone_number": "801-893-9564",
"fax_number": "801-893-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 W SOUTH JORDAN PKWY STE 210",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "84095",
"telephone_number": "801-893-9564",
"fax_number": "801-893-9062"
}
],
"practiceLocations": [
{
"address_1": "11100 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "44106",
"country_code": "US",
"telephone_number": "216-844-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "ALLYCE",
"middle_name": "KATIE",
"name_prefix": "Dr.",
"credential": "PMHNP-BC, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-10",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "UT",
"license": "7935706-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.