Individual provider Active NPI

Anna Jacobsen Frost, FNP-BC

  • Family Nurse Practitioner
  • Midvale, UT
National Provider Identifier
1770282477
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12687683-4405 Issued in UT
Practice address
7050 S Union Park Ave Ste 500
Midvale, UT 84047-6075
Phone
(435) 659-0105
NPI assigned
Mar 1, 2023
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12687683-4405 UT Primary
Registered Nurse 163W00000X 12687683-3102 UT

Addresses

Primary practice location

7050 S Union Park Ave Ste 500
Midvale, UT 84047-6075

Mailing address

7050 S Union Park Ave Ste 500
Midvale, UT 84047-6075
Phone (435) 659-0105

Other practice location 1

7472 Brook Hollow Loop Rd
Park City, UT 84098-8262
Phone (435) 659-0105

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

State licenses

LicenseStateTypeSpecialty
12687683-3102UTMDRegistered Nurse
12687683-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Fertility Center PastSince Aug 4, 2024 Accepting new patients
Bronson Lakeview Hospital Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1770282477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 S UNION PARK AVE STE 500",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476075",
            "telephone_number": "435-659-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 S UNION PARK AVE STE 500",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476075",
            "telephone_number": "435-659-0105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7472 Brook Hollow Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840988262",
            "country_code": "US",
            "telephone_number": "435-659-0105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROST",
        "first_name": "ANNA",
        "middle_name": "JACOBSEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12687683-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "12687683-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.