Individual provider Active NPI

Jennifer Emma Christiansen, MD

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1720728983
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14203246-1205 Issued in UT
Practice address
6360 S 3000 E Ste 100
Salt Lake City, UT 84121-6924
Phone
(801) 365-1032
NPI assigned
Mar 29, 2022
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CO
Family Medicine Physician 207Q00000X DR.0071661 CO
Family Medicine Physician 207Q00000X 14203246-1205 UT Primary

Addresses

Primary practice location

6360 S 3000 E Ste 100
Salt Lake City, UT 84121-6924

Mailing address

6360 S 3000 E Ste 100
Salt Lake City, UT 84121-6924
Phone (801) 365-1032

Other practice location 1

2698 Patterson Rd Ste 100
Grand Junction, CO 81506-8211
Phone (970) 298-2800

Other practice location 2

2635 North 7th St
Ste 4205
Grand Junction, CO 81501
Phone (970) 298-7783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250520001403 CO Practitioner - Osteopathic Manipulative Medicine 6507246964 Reassigns benefits to 1 organization
I20250730004522 UT Practitioner - Family Practice 6507246964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothill Clinic LLCGroup PAC ID 9931003795, 42 clinicians

Practice addresses (Care Compare)

6360 S 3000
Suite 100
Salt Lake City, UT 84121-6924
Phone (801) 365-1032

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0071661COMDFamily Medicine Physician
14203246-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Grand Junction, LLC Family Medicine Current Accepting new patients
Foothill Clinic, LLC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jul 1, 2025 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jul 1, 2025 Accepting new patients
Foothill Clinic, LLC Family Medicine Past Accepting new patients
St Mary's Hospital and Medical Center, Inc Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2635 N 7th St
Ste 4205
Grand Junction, CO 81501
Phone (970) 298-7049

2698 Patterson Rd
Ste 100
Grand Junction, CO 81506
Phone (970) 298-2195

13953 S Bangerter Pkwy
Draper, UT 84020
Phone (385) 900-4090

6360 S 3000 E
Ste 100
Salt Lake Cty, UT 84121
Phone (801) 365-1032

2295 S Foothill Dr
Slc, UT 84109
Phone (801) 486-3021

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/FFC/api/FHIR/R4
  • Direct secure messaging: jennifer.christiansen.1@16660.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1720728983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216924",
            "telephone_number": "801-365-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216924",
            "telephone_number": "801-365-1032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2698 Patterson Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815068211",
            "country_code": "US",
            "telephone_number": "970-298-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2635 North 7th St",
            "address_2": "Ste 4205",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "81501",
            "country_code": "US",
            "telephone_number": "970-298-7783",
            "fax_number": "970-298-2079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "JENNIFER",
        "middle_name": "EMMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0071661",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "14203246-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.