Active NPI
Carina Chacon, APRN
- Family Nurse Practitioner
- West Jordan, UT
National Provider Identifier
1245841816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9804824-4409
- Practice address
- 7611 S Jordan Landing Blvd
West Jordan, UT 84084-5610 - Phone
- (801) 486-1616
- NPI assigned
- Aug 16, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9804824-4409 | UT | Primary |
Addresses
Primary practice location
7611 S Jordan Landing Blvd
West Jordan, UT 84084-5610
Mailing address
7611 S Jordan Landing Blvd Ste 103
West Jordan, UT 84084-5625
Phone (801) 486-1616
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9804824-4409 | UT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1245841816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7611 S JORDAN LANDING BLVD STE 103",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840845625",
"telephone_number": "801-486-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7611 S JORDAN LANDING BLVD",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840845610",
"telephone_number": "801-486-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACON",
"first_name": "CARINA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-16",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "9804824-4409",
"primary": true
}
],
"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 Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.