Janine Marie McDonald, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

206559-4405 Issued in UT

Practice address

3534 S 6000 W
West Valley, UT 84128-2610

Phone

(801) 969-6264

Fax

(801) 969-6333

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Hunter Medical Center, Inc

  dba Jordan Meadows Medical Center

  • Family Medicine Physician
  • West Valley, UT
  • NPI 1194860569
  NPD (past)
• Hunter Medical Center, Inc

  dba Jordan Meadows Medical Center.

  • Family Medicine Physician
  • West Jordan, UT
  • NPI 1205957131
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1437357241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 S 6000 W",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841282610",
            "telephone_number": "801-969-6264",
            "fax_number": "801-969-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 S 6000 W",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841282610",
            "telephone_number": "801-969-6264",
            "fax_number": "801-969-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JANINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30007530",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "206559-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7922404",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437357241",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7148406",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert John Matejka, DO
• Shawnery Mathis
• Kaylie Lynn McCusker
• Skylar McCutcheon, AMFT
• Matt McDermott
• Lacee Medsker
• Connie R Mendez, LCSW
• Nicholas Merrill
• Alexis Millar
• Ellie Laree Miller, CSW

• Nurse Practitioner in West Valley, UT
• Providers in West Valley, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.