Jennifer W Anderson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

198045-4405 Issued in UT

Practice address

8006 S Mountain Oaks Dr
Salt Lake City, UT 84121-5921

Phone

(801) 634-5366

NPI assigned

Jun 14, 2006

Last updated

Jun 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer W Anderson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Jennifer W. Anderson

  • Family Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1194905174
  Authorized official Same address or phone
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD (past)
• U.S. Healthworks Medical Group of Utah, Inc.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Seattle, WA
  • NPI 1548240013
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1659314706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150173",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844150173",
            "telephone_number": "801-479-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8006 S MOUNTAIN OAKS DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215921",
            "telephone_number": "801-634-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JENNIFER",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "198045-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ANDERSON",
            "middle_name": "W",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jaimee Anderson
• Jared Anderson, D.C.
• Jeffrey L Anderson, MD
• Jeffry Anderson
• Jennifer K. Anderson, LAMFT
• Jenny Anderson
• Jesse Anderson, PHARMD
• Judith Anderson, RPH
• Julia Anderson
• Kalani Marie Anderson, MSW, LCSW

• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.