Active NPI
Matthew Allred, A.P.R.N.
- Nurse Practitioner
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 7765348-4405
- Practice address
- 3584 W 9000 S
Suite 405
West Jordan, UT 84088-5710 - Phone
- (801) 568-3480
- Fax
- (801) 562-3140
- NPI assigned
- Jan 30, 2017
- Last updated
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 7765348-4405 | UT | Primary |
| Family Nurse Practitioner | 363LF0000X | 7765348-4408 | UT |
Addresses
Primary practice location
3584 W 9000 S
Suite 405
West Jordan, UT 84088-5710
Mailing address
3584 W 9000 S
Suite 405
West Jordan, UT 84088-5710
Phone (801) 568-3480
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3584 W 9000
Suite 405
West Jordan, UT 84088-5712
Phone (801) 568-3480
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Group of Utah Inc | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients |
Locations
82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370
2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
3584 W 9000 S
Ste 405
West Jordan, UT 84088
Phone (801) 568-3480
Networks
- UT PPO D-SNP
- UT PPO
Organizations & group practices 4
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.
-
dba Behavioral Health West Valley
- Prescribing (Medical) Psychologist
- West Valley City, UT
- NPI 1942903562
-
- Specialist
- South Jordan, UT
- NPI 1477676930
-
- Emergency Medicine Physician
- Brighton, UT
- NPI 1518669472
-
dba CommonSpirit Orthopedics Longmont
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Hospital - Jordan Valley
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1194262022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3584 W 9000 S",
"address_2": "SUITE 405",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885710",
"telephone_number": "801-568-3480",
"fax_number": "801-562-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3584 W 9000 S",
"address_2": "SUITE 405",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885710",
"telephone_number": "801-568-3480",
"fax_number": "801-562-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "MATTHEW",
"credential": "A.P.R.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-30",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "7765348-4405",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "7765348-4408",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.