Active NPI
Trevor Tonks
- Acute Care Nurse Practitioner
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 12905695-4405
- Practice address
- 3590 W 9000 S
West Jordan, UT 84088-8857 - Phone
- (801) 352-8373
- NPI assigned
- May 17, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 10222556-3102 | UT | |
| Acute Care Nurse Practitioner | 363LA2100X | 12905695-4405 | UT | Primary |
Addresses
Primary practice location
3590 W 9000 S
West Jordan, UT 84088-8857
Mailing address
5121 S Cottonwood St
Murray, UT 84107-5701
Other practice location 1
5121 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 507-4400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | trevor.tonks@imail.org | Direct |
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5169 S Cottonwood St
Suite 520
Murray, UT 84107-6756
Phone (801) 507-3500
Hospital & facility affiliations
- Intermountain Medical Center
- Intermountain Health Riverton Hospital
- Intermountain Health Alta View Hospital
- LDS Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10222556-3102 | UT | MD | General Practice Registered Nurse |
| 12905695-4405 | UT | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Physician Group of Utah Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
3741 W 12600 S
Ste 120
Riverton, UT 84065
3741 W 12600 S
Ste 160A
Riverton, UT 84065
5169 S Cottonwood St
Ste 520
Salt Lake City, UT 84107
Phone (801) 507-3555
8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500
8 Th Ave C St
Salt Lake City, UT 84143
Phone (801) 408-5482
82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
9450 S 1300 E
Sandy, UT 84094
Phone (801) 501-2133
451 E Bishop Federal Ln
South Salt Lake, UT 84115
Phone (801) 487-7557
2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866
3590 W 9000 S
Ste 240
West Jordan, UT 84088
Phone (801) 505-5370
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
3590 W 9000 S
West Jordan, UT 84088
Phone (801) 208-1075
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Specialist
- South Jordan, UT
- NPI 1477676930
-
- Family Medicine Physician
- Heber City, UT
- NPI 1063616282
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1306888722
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
-
- Cardiovascular Disease Physician
- Murray, UT
- NPI 1982833398
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverton, UT
- NPI 1154551919
-
- General Acute Care Hospital
- Sandy, UT
- NPI 1962412486
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1528078581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1639816168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5121 S COTTONWOOD ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3590 W 9000 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840888857",
"telephone_number": "801-352-8373"
}
],
"practiceLocations": [
{
"address_1": "5121 S Cottonwood St",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "UT",
"postal_code": "841075701",
"country_code": "US",
"telephone_number": "801-507-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TONKS",
"first_name": "TREVOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-17",
"last_updated": "2022-12-12",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "UT",
"license": "10222556-3102",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "UT",
"license": "12905695-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "trevor.tonks@imail.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5121 S Cottonwood St",
"city": "Murray",
"state": "UT",
"country_code": "US",
"postal_code": "841075701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.