Individual provider Active NPI

Abigail Jane Bertola Spainhower, FNP

  • Family Nurse Practitioner
  • West Valley, UT
National Provider Identifier
1538948377
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11582027-4405 Issued in UT
Practice address
3534 S 6000 W
West Valley, UT 84128-2698
Phone
(801) 658-6904
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11582027-4405 UT Primary

Addresses

Primary practice location

3534 S 6000 W
West Valley, UT 84128-2698

Mailing address

11289 S High Crest LN
South Jordan, UT 84009-5035
Phone (801) 558-1482

Other practice location 1

3354 W 7800 S
West Jordan, UT 84088-4506
Phone (801) 282-2677

Other names 1

  • Abigail Jane Spainhower Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320003697 UT Practitioner - Nurse Practitioner 4981041365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunter Medical Center IncGroup PAC ID 3678461951, 9 clinicians

Practice addresses (Care Compare)

3534 S 6000
West Valley, UT 84128-2610
Phone (801) 969-6264

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hunter Medical Center, Inc CurrentSince Feb 7, 2024 Accepting new patients
Hunter Medical Center, Inc PastSince Sep 24, 2023 Accepting new patients

Locations

3354 W 7800 S
West Jordan, UT 84088
Phone (801) 282-2677

3534 S 6000 W
West Valley City, UT 84128
Phone (801) 658-6904

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1538948377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11289 S HIGH CREST LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840095035",
            "telephone_number": "801-558-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 S 6000 W",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841282698",
            "telephone_number": "801-658-6904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3354 W 7800 S",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840884506",
            "country_code": "US",
            "telephone_number": "801-282-2677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAINHOWER",
        "first_name": "ABIGAIL",
        "middle_name": "JANE BERTOLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11582027-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "SPAINHOWER",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Valley, UT

Sources for this page

Verify at the official NPI Registry.