Individual provider Active NPI

Jennifer Lynne Trinidad, F.N.P.

  • Family Nurse Practitioner
  • Santaquin, UT
National Provider Identifier
1306270855
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23293 Issued in CA
Practice address
548 Stone Way
Santaquin, UT 84655-5638
Phone
(951) 217-9297
NPI assigned
Sep 1, 2013
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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 9774416-4405 UT
Family Nurse Practitioner 363LF0000X 23293 CA Primary

Addresses

Primary practice location

548 Stone Way
Santaquin, UT 84655-5638

Mailing address

548 Stone Way
Santaquin, UT 84655-5638

Other practice location 1

26761 Santa Rosa Dr
Moreno Valley, CA 92555-4204
Phone (951) 242-6970

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
I20160809000887 UT Practitioner - Nurse Practitioner 2567682099 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9774416-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Body Renaissance LLC Family CurrentSince Oct 13, 2025 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

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

86 S Main St
Payson, UT 84651
Phone (385) 501-1999

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1306270855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 STONE WAY",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "846555638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 STONE WAY",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "846555638",
            "telephone_number": "951-217-9297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26761 Santa Rosa Dr",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925554204",
            "country_code": "US",
            "telephone_number": "951-242-6970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRINIDAD",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-01",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9774416-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santaquin, UT

Sources for this page

Verify at the official NPI Registry.