Brittany K Hawkes, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

14029242-1206 Issued in UT

Practice address

1680 W Reunion Ave Ste 5a
South Jordan, UT 84095-4620

Phone

(385) 361-3001

NPI assigned

Aug 16, 2023

Last updated

Jan 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Brittany K Poole Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 12, 2026 through Jan 12, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

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.

• Ageless Womens Health Ut LLC

  dba Ageless Women's Health

  • Family Medicine Physician
  • Marriott Slaterville, UT
  • NPI 1053017004

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1467235192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11092 S OLD BRIDGE RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840091617",
            "telephone_number": "208-680-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 W REUNION AVE STE 5A",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954620",
            "telephone_number": "385-361-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKES",
        "first_name": "BRITTANY",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "14029242-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "14029242-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "POOLE",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Avery Sophia Hartman
• Quinten J. Harvey, PH.D.
• Ashlee Sierra Hastings
• Jory Woodrow Hatfield, LCSW
• Hawaii Life Flight, LLC
• Tyler Hawkins
• Andrew Hawks, DMD, MS
• Madeline Haws, APRN
• Patricia Hayner
• Heal SLC LLC

• Physician Assistant in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.