Individual provider Active NPI

Vivian Helen Ward

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1245969708
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8471372-3102 Issued in UT
Practice address
6321 S Redwood Rd Ste 200
Salt Lake City, UT 84123-6798
Phone
(801) 265-2212
Fax
(801) 265-0103
NPI assigned
Jun 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11020107 FL
Family Nurse Practitioner 363LF0000X 8471372-3102 UT Primary

Addresses

Primary practice location

6321 S Redwood Rd Ste 200
Salt Lake City, UT 84123-6798

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (801) 265-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221017003284 FL Practitioner - Nurse Practitioner 4587030531 Reassigns benefits to 1 organization
I20250522001420 UT Practitioner - Nurse Practitioner 4587030531 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
Group practices
Jordan Ridge Family Medicine LLCGroup PAC ID 8820091473, 10 clinicians

Practice addresses (Care Compare)

6321 S Redwood Rd
Suite 201
Taylorsville, UT 84123-6972
Phone (702) 480-2550

Hospital & facility affiliations

  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11020107FLMDFamily Nurse Practitioner
8471372-3102UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Ridge Family Medicine LLC CurrentSince May 12, 2025 Accepting new patients
Rmed LLC CurrentSince Jan 1, 2025 Accepting new patients
Rmed LLC CurrentSince Jan 1, 2025 Accepting new patients
Jordan Ridge Family Medicine LLC CurrentSince May 12, 2025 Accepting new patients

Locations

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

6321 S Redwood Rd
Ste 201
Taylorsville, UT 84123
Phone (801) 265-2212

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: vward203542@westdirect.optum.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1245969708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "801-265-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 S REDWOOD RD STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841236798",
            "telephone_number": "801-265-2212",
            "fax_number": "801-265-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "VIVIAN",
        "middle_name": "HELEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020107",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8471372-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.