Active NPI
Jon T. Poore', B.S.R.N.
- Registered Nurse
- Salt Lake City, UT
National Provider Identifier
1538147277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 3306403102
- Practice address
- 500 South
530 East
Salt Lake City, UT 84102 - Phone
- (801) 538-2057
- Fax
- (801) 596-2515
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- 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 | 3306403102 | UT | Primary |
Addresses
Primary practice location
500 South
530 East
Salt Lake City, UT 84102
Mailing address
350 S 200 W
#C507
Salt Lake City, UT 84101-1828
Phone (801) 580-7624
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 |
|---|---|---|---|
| 3306403102 | UT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1538147277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 S 200 W",
"address_2": "#C507",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841011828",
"telephone_number": "801-580-7624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SOUTH",
"address_2": "530 EAST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84102",
"telephone_number": "801-538-2057",
"fax_number": "801-596-2515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POORE'",
"first_name": "JON",
"middle_name": "T.",
"name_prefix": "Mr.",
"credential": "B.S.R.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "3306403102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.