Active NPI
Jane Kofford Ford, APRN
- Nurse Practitioner
- Murray, UT
National Provider Identifier
1396262424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 203534-4405
- Practice address
- 5848 S Fashion Blvd
Murray, UT 84107-6157 - Phone
- (801) 314-4025
- NPI assigned
- Aug 29, 2017
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 203534-4405 | UT | Primary |
Addresses
Primary practice location
5848 S Fashion Blvd
Murray, UT 84107-6157
Mailing address
5848 S Fashion Blvd
Murray, UT 84107-6157
Phone (801) 641-0048
Other practice location 1
541 Bountiful Blvd
Bountiful, UT 84010-1395
Phone (801) 314-4025
Other names 1
- Janie Kofford Ford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203534-4405 | UT | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1396262424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5848 S FASHION BLVD",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076157",
"telephone_number": "801-641-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5848 S FASHION BLVD",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076157",
"telephone_number": "801-314-4025"
}
],
"practiceLocations": [
{
"address_1": "541 Bountiful Blvd",
"address_purpose": "LOCATION",
"city": "Bountiful",
"state": "UT",
"postal_code": "840101395",
"country_code": "US",
"telephone_number": "801-314-4025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORD",
"first_name": "JANE",
"middle_name": "KOFFORD",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "203534-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANIE",
"last_name": "FORD",
"middle_name": "KOFFORD",
"credential": "APRN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.