Individual provider Active NPI

Angela M Jones

  • Women's Health Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1225652290
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
8013985-3102 Issued in UT
Practice address
348 E 4500 S Ste 200
Salt Lake City, UT 84107-8509
Phone
(385) 257-6284
Fax
(801) 281-9681
NPI assigned
Jun 4, 2020
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 8013985-3102 UT Primary

Addresses

Primary practice location

348 E 4500 S Ste 200
Salt Lake City, UT 84107-8509

Mailing address

348 E 4500 S Ste 200
Salt Lake City, UT 84107-8509
Phone (385) 257-6284

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Murray

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
I20211206001978 UT Practitioner - Nurse Practitioner 3274923248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phase II Center for Womens HealthGroup PAC ID 2163323692, 4 clinicians

Practice addresses (Care Compare)

348 E 4500
Suite 200
Murray, UT 84107-8509
Phone (385) 257-6284

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phase II Center for Womens Health CurrentSince Oct 1, 2021 Accepting new patients

Locations

348 E 4500 S
Ste 200
Salt Lake Cty, UT 84107
Phone (385) 257-6284

3970 S 7th E
Ste 14
Salt Lake Cty, UT 84107
Phone (801) 261-3605

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGEDCD/Endpoint/JGEDCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1225652290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 E 4500 S STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841078509",
            "telephone_number": "385-257-6284",
            "fax_number": "801-281-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 E 4500 S STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841078509",
            "telephone_number": "385-257-6284",
            "fax_number": "801-281-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANGELA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "UT",
            "license": "8013985-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Murray",
            "affiliation": "N",
            "address_1": "348 E 4500 S Ste 200",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841078509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.