Individual provider Active NPI

Jane Kofford Ford, APRN

  • Nurse Practitioner
  • Murray, UT
National Provider Identifier
1396262424
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
203534-4405 Issued in UT
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
203534-4405UTMDNurse 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

Verify at the official NPI Registry.