Active NPI
Jennifer Myers Coombs, PA
- Medical Physician Assistant
- SLC, UT
National Provider Identifier
1518964659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 105924-1206
- Practice address
- 50 N Medical Dr
SLC, UT 84132-0001 - Phone
- (801) 581-7818
- NPI assigned
- Jul 5, 2005
- Last updated
- Mar 21, 2017
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 105924-1206 | UT | Primary |
Addresses
Primary practice location
50 N Medical Dr
SLC, UT 84132-0001
Mailing address
127 S 500 E
Ste 600
Salt Lake City, UT 84102-1959
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105924-1206 | UT | MD | Medical Physician Assistant |
Interoperability endpoints
- jcoombs213488@direct.med.utah.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1518964659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 S 500 E",
"address_2": "STE 600",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N MEDICAL DR",
"city": "SLC",
"state": "UT",
"postal_code": "841320001",
"telephone_number": "801-581-7818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOMBS",
"first_name": "JENNIFER",
"middle_name": "MYERS",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "UT",
"license": "105924-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in SLC, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.