Kashley Nicole Jones, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Salem, UT
NPI 1740857804 · NPPES record last updated Aug 30, 2021
Key facts
- NPI
- 1740857804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 10439852-4405 (UT)
- Practice address
- 555 W Sr 164
Salem, UT 84653 - Phone
- (801) 465-4813
- Fax
- (801) 812-5433
- NPI assigned
- Jun 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shane D Gagon MD, PC
Practice addresses (Care Compare)
377 No Fairgrounds Rd
Gagon Family Practice
Price, UT 84501-4211
Phone (435) 613-2200
Hospital & facility affiliations
- Castleview Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210908002536 | UT | Practitioner - Nurse Practitioner | 0345646808 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10439852-3102 | UT | MD | Registered Nurse |
| F05210673 | UT | MD | Family Nurse Practitioner |
Interoperability endpoints
- bza7170@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 10439852-3102 | UT | |
| Family Nurse Practitioner | 363LF0000X | F05210673 | UT | |
| Family Nurse Practitioner | 363LF0000X | 10439852-4405 | UT | Yes |
Addresses
Primary practice location
555 W Sr 164
Salem, UT 84653
Mailing address
1155 N 500 W
Attn Credentialing
Provo, UT 84604
Phone (801) 354-8225
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@reverehealth.com | Revere Health PC |
Other providers in Salem, UT
- Alma Iyon Soud
- Colton Jackson
- Addysun Jasperson
- McCall Jewett
- Tye Frank Johnson
- Kids Who Count
- Kids Who Count
- Adam Nelson Lee
- Life Tree PLLC
- Olina Lindow
All providers in Salem, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.