Organization Active NPI

Jordan Valley Family Health

  • Family Medicine Physician
  • West Jordan, UT
National Provider Identifier
1437191038
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JORDAN VALLEY FAMILY HEALTH
Practice address
3570 W 9000 S
Suite #100
West Jordan, UT 84088-8869
Phone
(801) 569-1999
Fax
(801) 569-2001
NPI assigned
Jun 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Judith Kirstein, M.D.NPI 1275576027
Title
Owner
Phone
(801) 569-1999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3570 W 9000 S
Suite #100
West Jordan, UT 84088-8869

Mailing address

3570 W 9000 S
Suite #100
West Jordan, UT 84088-8869
Phone (801) 569-1999

National Provider Directory

National Provider Directory

Locations

74 E Kimballs Ln
Ste 300
Draper, UT 84020
Phone (801) 572-0311

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437191038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 W 9000 S",
            "address_2": "SUITE #100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888869",
            "telephone_number": "801-569-1999",
            "fax_number": "801-569-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 W 9000 S",
            "address_2": "SUITE #100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888869",
            "telephone_number": "801-569-1999",
            "fax_number": "801-569-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN VALLEY FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRSTEIN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-569-1999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.