Active NPI
Jsa Nutrition
- Durable Medical Equipment & Medical Supplies
- Herriman, UT
National Provider Identifier
1447193545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- JSA NUTRITION
- Practice address
- 12966 S Sparrow Hawk LN
Herriman, UT 84096-5735 - Phone
- (714) 317-7065
- NPI assigned
- Apr 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Parker
- Title
- President
- Phone
- (714) 317-7065
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
12966 S Sparrow Hawk LN
Herriman, UT 84096-5735
Mailing address
138 E 12300 S # 282
Draper, UT 84020-7976
Phone (714) 317-7065
National Provider Directory
National Provider DirectoryLocations
138 E 12300 S
#282
Draper, UT 84020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776038400000",
"number": "1447193545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 E 12300 S # 282",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207976",
"telephone_number": "714-317-7065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12966 S SPARROW HAWK LN",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "840965735",
"telephone_number": "714-317-7065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JSA NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-317-7065"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herriman, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.