Individual provider Active NPI

Jenny Louise McKay, APRN

  • Family Nurse Practitioner
  • West Jordan, UT
National Provider Identifier
1295256543
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345411-4405 Issued in UT
Practice address
7478 S Campus View Dr Ste 100
West Jordan, UT 84084-1968
Phone
(801) 210-2445
Fax
(385) 200-8440
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345411-4405 UT Primary

Addresses

Primary practice location

7478 S Campus View Dr Ste 100
West Jordan, UT 84084-1968

Mailing address

7478 S Campus View Dr Ste 100
West Jordan, UT 84084-1968
Phone (801) 210-2445

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171103000450 UT Practitioner - Nurse Practitioner 7315203502 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7478 S Campus View Dr
Suite 100
West Jordan, UT 84084-1968
Phone (801) 759-5887

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
345411-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Regional Hospitalists LLC CurrentSince Oct 26, 2017 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Oct 26, 2017 Accepting new patients
McKay Family Practice Family Medicine CurrentSince Jul 25, 2020 Accepting new patients
Altium Health LLC PastSince Jan 1, 2020 Accepting new patients
Alpine Health and Rehabilitation Center LC PastSince May 1, 2019 Accepting new patients

Locations

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

7478 S Campus View Dr
Ste 100
West Jordan, UT 84084
Phone (801) 210-2445

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1295256543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7478 S CAMPUS VIEW DR STE 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841968",
            "telephone_number": "801-210-2445",
            "fax_number": "385-200-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7478 S CAMPUS VIEW DR STE 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841968",
            "telephone_number": "801-210-2445",
            "fax_number": "385-200-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "JENNY",
        "middle_name": "LOUISE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "345411-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.