Active NPI
Sara Kathleen Jones, PMH-NP
- Psychiatric/Mental Health Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1639804552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11336682-4405
- Practice address
- 850 E 300 S Ste 1
Salt Lake City, UT 84102-2301 - Phone
- (385) 429-9808
- NPI assigned
- Jul 24, 2022
- Last updated
- Jun 1, 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11336682-4405 | UT | Primary |
Addresses
Primary practice location
850 E 300 S Ste 1
Salt Lake City, UT 84102-2301
Mailing address
1449 S 1200 W
Salt Lake City, UT 84104-2156
Phone (859) 307-7748
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 |
|---|---|---|---|
| 11336682-4405 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hidden Gem Healing | Psychiatric/Mental Health | Current | Accepting new patients |
| Strides Pediatric Therapy Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Sandy, UT
- NPI 1255137907
-
- Multi-Specialty Clinic/Center
- Cedar Valley, UT
- NPI 1104389709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1639804552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1449 S 1200 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841042156",
"telephone_number": "859-307-7748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 E 300 S STE 1",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022301",
"telephone_number": "385-429-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SARA",
"middle_name": "KATHLEEN",
"credential": "PMH-NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-24",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "UT",
"license": "11336682-4405",
"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 Jun 1, 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.