Peggy Jerome LLC

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

2788254405 Issued in UT

Legal business name

PEGGY JEROME LLC

Doing business as

Peggy Jerome, APRN

Practice address

8537 Redwood Rd
Ste. a - Main Level
West Jordan, UT 84088-9311

Phone

(801) 568-2898

Fax

(801) 568-2891

NPI assigned

Jan 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peggy Jerome, APRNNPI 1013001247

Title

Owner

Phone

(801) 568-2898

Specialties & licenses 1

Addresses

Other names 1

• Peggy Jerome, APRN Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peggy Anne Jerome, APRN

  • Adult Health Nurse Practitioner
  • West Jordan, UT
  • NPI 1013001247
  Authorized official Same address or phone

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700939477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8537 REDWOOD RD",
            "address_2": "STE. A - MAIN LEVEL",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889311",
            "telephone_number": "801-568-2898",
            "fax_number": "801-568-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8537 REDWOOD RD",
            "address_2": "STE. A - MAIN LEVEL",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889311",
            "telephone_number": "801-568-2898",
            "fax_number": "801-568-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY JEROME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEROME",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-568-2898",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "UT",
            "license": "2788254405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peggy Jerome, APRN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chantal Peck
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• Sophia Peck
• Tamera Pedersen, CMHC
• Pedoortho Partners PLLC (Clubhouse Pediatric Dentistry)
• Juan Pena Cuevas
• Lynaya Pena
• Shandon James Pendleton, RDN
• Adaliz Perez
• Ryan M Perron, DPT

• Adult Psychiatric/Mental Health Registered Nurse in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.