Active NPI
Rebecca Jensen
- Pain Clinic/Center
- American Fork, UT
National Provider Identifier
1760067813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Practice address
- 36 N 1100 E Ste C
American Fork, UT 84003-2918 - Phone
- (801) 874-1945
- NPI assigned
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
36 N 1100 E Ste C
American Fork, UT 84003-2918
Mailing address
916 S 800 East Cir
St George, UT 84790-5613
Phone (435) 669-4344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1760067813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 S 800 EAST CIR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847905613",
"telephone_number": "435-669-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 N 1100 E STE C",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032918",
"telephone_number": "801-874-1945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.