Individual provider Active NPI

Brandon Lee Henrichsen, RN

  • Emergency Registered Nurse
  • West Jordan, UT
National Provider Identifier
1275499147
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
13387503-3102 Issued in UT
Practice address
6611 S Interlochin LN
West Jordan, UT 84084-5007
Phone
(801) 425-7645
NPI assigned
Jan 5, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 13387503-3102 UT Primary

Addresses

Primary practice location

6611 S Interlochin LN
West Jordan, UT 84084-5007

Mailing address

6611 S Interlochin LN
West Jordan, UT 84084-5007
Phone (801) 425-7645

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
13387503-3102UTMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1275499147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 S INTERLOCHIN LN",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845007",
            "telephone_number": "801-425-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 S INTERLOCHIN LN",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845007",
            "telephone_number": "801-425-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICHSEN",
        "first_name": "BRANDON",
        "middle_name": "LEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "UT",
            "license": "13387503-3102",
            "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 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.