Tessa Lee MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TESSA LEE MD

Practice address

1868 W 9800 S Ste 100
South Jordan, UT 84095-4713

Phone

(801) 433-2873

Fax

(801) 433-5734

NPI assigned

Feb 13, 2023

Last updated

Feb 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janice Allred

Title

Manager

Phone

(801) 285-8848

Specialties & licenses 1

Addresses

Other names 1

• Jordan River Family Medicine Other name

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tessa Lee, MD

  • Family Medicine Physician
  • South Jordan, UT
  • NPI 1285260232
  Medicare reassignment NPD
• Michael David Jones, MD

  • Family Medicine Physician
  • South Jordan, UT
  • NPI 1538173422
  NPD
• Katie A. Julien, M.D.

  • Family Medicine Physician
  • South Jordan, UT
  • NPI 1386691251
  NPD
• Rebecca J. Levine, M.D.

  • Family Medicine Physician
  • South Jordan, UT
  • NPI 1316986136
  NPD
• Andrew Robert Robinson, D O LLC

  • Family Medicine Physician
  • South Jordan, UT
  • NPI 1366782567
  NPD

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1346947058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 W 9800 S STE 100",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954713",
            "telephone_number": "801-433-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 W 9800 S STE 100",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954713",
            "telephone_number": "801-433-2873",
            "fax_number": "801-433-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSA LEE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "ALLRED",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-285-8848"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan River Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Noelle Taylor, DNP
• Derek Tedder, DPT, ATC
• Jenifer Lynn Temple
• Trina Terrion
• Eleshia Terry
• Bridget Ann Thackeray, ACMHC
• Kaitlyn Jo Thackeray, CSW, CPH
• Thayne Gardner DDS, PLLC (Little People's Dental)
• The Body Shop Physical Therapy and Rehab
• The Foot LLC

• Primary Care Clinic/Center in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Primary Care Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.