Active NPI
Cori Lynn Anderson, NP
- Nurse Practitioner
- Sandy, UT
National Provider Identifier
1255209284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5265330-4405
- Practice address
- 9660 S 1300 E # 20
Sandy, UT 84094-3762 - Phone
- (801) 965-3600
- NPI assigned
- Oct 29, 2025
- Last updated
- Jul 30, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5265330-4405 | UT | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 5265330-4405 | UT |
Addresses
Primary practice location
9660 S 1300 E # 20
Sandy, UT 84094-3762
Mailing address
2965 W 3500 S
West Valley City, UT 84119-3602
Phone (801) 965-3600
Other practice location 1
1578 W Duffys Ln
West Jordan, UT 84084-7441
Phone (801) 318-0274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5265330-4405 | UT | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1255209284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2965 W 3500 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841193602",
"telephone_number": "801-965-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9660 S 1300 E # 20",
"city": "SANDY",
"state": "UT",
"postal_code": "840943762",
"telephone_number": "801-965-3600"
}
],
"practiceLocations": [
{
"address_1": "1578 W Duffys Ln",
"address_purpose": "LOCATION",
"city": "West Jordan",
"state": "UT",
"postal_code": "840847441",
"country_code": "US",
"telephone_number": "801-318-0274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "CORI",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-29",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "5265330-4405",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "UT",
"license": "5265330-4405",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.