Active NPI
Ami Elizabeth White, FNP
- Family Nurse Practitioner
- South Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 294024-4408
- Practice address
- 3556 W 9800 S Ste 101
South Jordan, UT 84095-3221 - Phone
- (801) 567-9780
- Fax
- (801) 567-9826
- NPI assigned
- Jun 24, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 294024-4408 | UT | Primary |
Addresses
Primary practice location
3556 W 9800 S Ste 101
South Jordan, UT 84095-3221
Mailing address
3556 W 9800 S Ste 101
South Jordan, UT 84095-3221
Phone (801) 567-9780
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140818001092 | UT | Practitioner - Nurse Practitioner | 9830316728 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Utah Carenow Urgent Care LLC
Practice addresses (Care Compare)
5911 S Fashion Blvd
Murray, UT 84107-7352
Phone (801) 266-6483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294024-4408 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Healthcare of Utah Inc | Family | Current | Accepting new patients |
| Utah Carenow Urgent Care, LLC | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
7050 S Union Park Ave
Ste 200
Midvale, UT 84047
Phone (562) 549-3966
5911 S Fashion Blvd
Salt Lake City, UT 84107
Phone (801) 266-6483
441 S Redwood Rd
Slc, UT 84104
Phone (801) 973-2588
Interoperability endpoints
- https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/
- ami.white.1@14940.direct.athenahealth.com
Organizations & group practices 2
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": "1340496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1376806331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3556 W 9800 S STE 101",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840953221",
"telephone_number": "801-567-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3556 W 9800 S STE 101",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840953221",
"telephone_number": "801-567-9780",
"fax_number": "801-567-9826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "AMI",
"middle_name": "ELIZABETH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-24",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "294024-4408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.