Individual provider Active NPI

Jordan Salumu Masudi

  • Public Health or Welfare Agency
  • Washington, UT
National Provider Identifier
1194523712
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Practice address
875 W Red Cliffs Dr Ste 9
Washington, UT 84780-1586
Phone
(434) 559-4006
NPI assigned
Mar 7, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

875 W Red Cliffs Dr Ste 9
Washington, UT 84780-1586

Mailing address

875 W Red Cliffs Dr Ste 9
Washington, UT 84780-1586
Phone (435) 559-4006

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Health Consulting Home Health CurrentSince Jun 29, 2025 Accepting new patients

Locations

875 W Red Cliffs Dr
Ste 9
Washington, UT 84780
Phone (434) 559-4006

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.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1194523712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 W RED CLIFFS DR STE 9",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847801586",
            "telephone_number": "435-559-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 W RED CLIFFS DR STE 9",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847801586",
            "telephone_number": "434-559-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASUDI",
        "first_name": "JORDAN",
        "middle_name": "SALUMU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-07",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.