Individual provider Active NPI

Jeanette Lynn Walker, APRN

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1427602507
Registry record updated Jul 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0634936 Issued in UT
Practice address
3200 N Canyon Rd
Provo, UT 84604-4571
Phone
(801) 373-3300
Fax
(801) 354-7900
NPI assigned
Jul 28, 2019
Last updated
Jul 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0634936 UT Primary

Addresses

Primary practice location

3200 N Canyon Rd
Provo, UT 84604-4571

Mailing address

3200 N Canyon Rd
Provo, UT 84604-4571
Phone (801) 373-3300

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jeanette.walker@imail.org Health Information Exchange (HIE)

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
I20191113002051 UT Practitioner - Nurse Practitioner 6507298536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

750 Round Valley Dr
Park City, UT 84060-7549

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0634936UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Oct 7, 2019 Accepting new patients
Ihc Health Services Inc Family Medicine CurrentSince Oct 7, 2019 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Ihc Health Services Inc CurrentSince Mar 1, 2020 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Centre Health Group PastSince Mar 1, 2020 Accepting new patients

Locations

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

98 N 1100 E
Ste 101
Highland, UT 84003
Phone (801) 492-2550

3249 N 1200 W
Lehi, UT 84043
Phone (801) 234-5880

1975 N State St
Orem, UT 84057
Phone (801) 714-5000

750 Round Valley Dr
Ste 201
Park City, UT 84060
Phone (435) 649-7640

854 S Turf Farm Rd
Unit 1
Payson, UT 84651
Phone (435) 864-2708

3200 N Canyon Rd
Provo, UT 84604
Phone (801) 373-3300

395 W Cougar Blvd
Ste 205
Provo, UT 84604
Phone (801) 357-1770

395 W Cougar Blvd
Ste 602
Provo, UT 84604
Phone (801) 357-0570

354 W State Road 73
Saratoga Springs, UT 84045
Phone (801) 341-5200

819 E Market Place Dr
Spanish Fork, UT 84660
Phone (385) 344-6600

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25864/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564272000000",
    "number": "1427602507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N CANYON RD",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044571",
            "telephone_number": "801-373-3300",
            "fax_number": "801-354-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N CANYON RD",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044571",
            "telephone_number": "801-373-3300",
            "fax_number": "801-354-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JEANETTE",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "0634936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jeanette.walker@imail.org",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3200 N Canyon Rd",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846044571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.