Individual provider Active NPI

Jasmine Davila, MD

  • Family Medicine Physician
  • Provo, UT
National Provider Identifier
1295484152
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0075590 Issued in CO
Practice address
475 W 940 N
Provo, UT 84604-3301
Phone
(801) 357-7940
NPI assigned
Mar 19, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 7

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives Colorado 1,230 clinicians

Practice addresses (Care Compare)

1000 Lincoln St
Fort Morgan, CO 80701-3290
Phone (970) 867-1843

Hospital & facility affiliations

  • St Elizabeth Hospital Hospital, Fort Morgan, CO, CCN 060044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240523000741 UT Practitioner - Family Practice 5294177168 Reassigns benefits to 1 organization
I20250725002739 CO Practitioner - Family Practice 5294177168 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Sep 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Sep 1, 2025 Accepting new patients
Ihc Health Services Inc CurrentSince Mar 11, 2024 Accepting new patients
Ihc Health Services, Inc. CurrentSince Mar 11, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

1224 Edison St
Brush, CO 80723
Phone (970) 542-4390

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1000 Lincoln St
Ste 101
Fort Morgan, CO 80701
Phone (970) 542-4390

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

98 N 1100 E
Ste 101
Highland, UT 84003
Phone (801) 492-2273

475 W 940 N
Provo, UT 84604
Phone (801) 357-7909

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0075590 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

475 W 940 N
Provo, UT 84604-3301

Mailing address

475 W 940 N
Provo, UT 84604-3301

Other practice location 1

1000 Lincoln St Ste 101
Fort Morgan, CO 80701-3290
Phone (970) 542-4390

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2025.

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1295484152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 W 940 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W 940 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043301",
            "telephone_number": "801-357-7940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Lincoln St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Morgan",
            "state": "CO",
            "postal_code": "807013290",
            "country_code": "US",
            "telephone_number": "970-542-4390",
            "fax_number": "970-867-4913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "JASMINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-19",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0075590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.