Active NPI
Jennifer Lynn Sciore, FNP-C
- Nurse Practitioner
- South Jordan, UT
National Provider Identifier
1235916057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5774025-4405
- Practice address
- 4574 W Warm Canyon LN
South Jordan, UT 84009-5029 - Phone
- (801) 372-1017
- NPI assigned
- Sep 14, 2023
- Last updated
- Sep 14, 2023
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5774025-4405 | UT | Primary |
Addresses
Primary practice location
4574 W Warm Canyon LN
South Jordan, UT 84009-5029
Mailing address
4574 W Warm Canyon LN
South Jordan, UT 84009-5029
Phone (801) 372-1017
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
406 W S Jordan Pkwy
Suite 450
South Jordan, UT 84095-3946
Phone (801) 919-3008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5774025-4405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sciore Medical Consulting LLC | Current | Accepting new patients | |
| Expert Wound LLC | Current | Accepting new patients | |
| Sciore Aesthetics LLC | Past | Accepting new patients |
Locations
406 W South Jordan Pkwy
Ste 450
South Jordan, UT 84095
Phone (801) 561-8398
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Wound Care Registered Nurse
- South Jordan, UT
- NPI 1952179251
-
- Primary Care Nurse Practitioner
- South Jordan, UT
- NPI 1932961190
-
- Health Service Clinic/Center
- Herriman, UT
- NPI 1881510865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1235916057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4574 W WARM CANYON LN",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840095029",
"telephone_number": "801-372-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4574 W WARM CANYON LN",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840095029",
"telephone_number": "801-372-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIORE",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "5774025-4405",
"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 Sep 14, 2023; 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.