Active NPI
Abigail Jane Bertola Spainhower, FNP
- Family Nurse Practitioner
- West Valley, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11582027-4405
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hunter Medical Center, Inc | Current | Accepting new patients | |
| Hunter Medical Center, Inc | Past | 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.
-
dba Jordan Meadows Medical Center.
- Family Medicine Physician
- West Jordan, UT
- NPI 1205957131
-
dba Jordan Meadows Medical Center
- Family Medicine Physician
- West Valley, UT
- NPI 1194860569
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Hospital - Jordan Valley
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.