Active NPI
Jaleen Wingrove
- Registered Nurse
- Spanish Fork, UT
National Provider Identifier
1508668070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 280350-3102
- Practice address
- 2172 E 7200 S
Spanish Fork, UT 84660-9340 - Phone
- (866) 805-1199
- NPI assigned
- Mar 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 280350-3102 | UT | Primary |
Addresses
Primary practice location
2172 E 7200 S
Spanish Fork, UT 84660-9340
Mailing address
5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280350-3102 | Other | UT | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280350-3102 | UT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1508668070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MING AVE STE 410",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933094631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2172 E 7200 S",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846609340",
"telephone_number": "866-805-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGROVE",
"first_name": "JALEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-26",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "280350-3102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "280350-3102",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spanish Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.