Organization Active NPI

Crossover Health Medical Group

  • Specialist
  • Sandy, UT
National Provider Identifier
1629931886
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CROSSOVER HEALTH MEDICAL GROUP
Practice address
9350 S 150 E Ste 101
Sandy, UT 84070-2702
Phone
(971) 500-2661
NPI assigned
Dec 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Mrs. Jenette Hunter, CPCS
Title
Sr. Manager of Credentialing
Phone
(971) 500-2661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

9350 S 150 E Ste 101
Sandy, UT 84070-2702

Mailing address

9350 S 150 E Ste 101
Sandy, UT 84070-2702
Phone (971) 500-2661

Other identifiers 1

IdentifierTypeStateIssuer
193200000XOtherNONMEDICARE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2334053Crossover Health Medical Group, Apc9350 South 150 East, Suite 101, Sandy, UT 84070Certificate of waiverNov 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Crossover Medical Group89 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

9350 S 150 E
Ste 101
Sandy, UT 84070

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1629931886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 S 150 E STE 101",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702702",
            "telephone_number": "971-500-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 S 150 E STE 101",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702702",
            "telephone_number": "971-500-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JENETTE",
        "authorized_official_title_or_position": "SR. MANAGER OF CREDENTIALING",
        "authorized_official_telephone_number": "971-500-2661",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONMEDICARE",
            "identifier": "193200000X",
            "state": null
        }
    ],
    "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 Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.