Active NPI
Jennifer Leila Gerrard, RN
- Registered Nurse
- Sandy, UT
National Provider Identifier
1609556232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 6047403-3102
- Practice address
- 9361 S 300 E
Sandy, UT 84070-2902 - Phone
- (801) 826-5066
- NPI assigned
- Jul 19, 2023
- Sex
- Female
- Sole proprietor
- No
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6047403-3102 | UT | MD | Registered Nurse |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 6047403-3102 | UT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
9361 S 300 E
Sandy, UT 84070-2902
Mailing address
5490 S Kenwood Dr
Murray, UT 84107-6228
Phone (801) 694-2206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2023.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1609556232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5490 S KENWOOD DR",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076228",
"telephone_number": "801-694-2206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9361 S 300 E",
"city": "SANDY",
"state": "UT",
"postal_code": "840702902",
"telephone_number": "801-826-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERRARD",
"first_name": "JENNIFER",
"middle_name": "LEILA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "6047403-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.