Individual provider Active NPI

Jenifer J Williams, FNP-C

  • Family Nurse Practitioner
  • South Jordan, UT
National Provider Identifier
1215828439
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9257827-4405 Issued in UT
Practice address
3336 W Spring Day LN
South Jordan, UT 84095-8734
Phone
(801) 918-3369
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9257827-4405 UT Primary

Addresses

Primary practice location

3336 W Spring Day LN
South Jordan, UT 84095-8734

Mailing address

3336 W Spring Day LN
South Jordan, UT 84095-8734
Phone (801) 918-3369

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
I20250923002483 UT Practitioner - Nurse Practitioner 8921503855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
After Hours Medical LLCGroup PAC ID 8123926904, 30 clinicians

Practice addresses (Care Compare)

10433 S Redwood Rd
South Jordan, UT 84095-8502
Phone (801) 501-0500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9257827-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
After Hours Medical LLC Current Accepting new patients
After Hours Medical LLC, Dba Medallus Medical CurrentSince Jul 20, 2025 Accepting new patients
Primary Function, PLLC CurrentSince Jul 22, 2025 Accepting new patients

Locations

1126 E Draper Pkwy
Draper, UT 84020
Phone (801) 545-0600

10433 S Redwood Rd
South Jordan, UT 84095
Phone (801) 260-1919

Organizations & group practices 3

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": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1215828439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 W SPRING DAY LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958734",
            "telephone_number": "801-918-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 W SPRING DAY LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958734",
            "telephone_number": "801-918-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENIFER",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9257827-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.