Individual provider Active NPI

Garrett Tanner Jefferies

  • Psychiatric/Mental Health Nurse Practitioner
  • Bountiful, UT
National Provider Identifier
1780302158
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11454012-4405 Issued in UT
Practice address
533 W 2600 S Ste 340
Bountiful, UT 84010-7768
Phone
(801) 683-9335
Fax
(385) 300-1842
NPI assigned
Aug 22, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 11454012-4405 UT Primary

Addresses

Primary practice location

533 W 2600 S Ste 340
Bountiful, UT 84010-7768

Mailing address

90 W 500 S # 217
Bountiful, UT 84010-6230
Phone (540) 809-8858

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address garrett@mindanchorpsychiatry.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221117003213 UT Practitioner - Nurse Practitioner 1658749908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah a Christensen PHD & Associates, Inc Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Neurobehavioral Center for Growth LLC Single Specialty Past Accepting new patients

Locations

248 E 13800 S
Ste 4
Draper, UT 84020
Phone (702) 483-5044

Interoperability endpoints

  • Direct secure messaging: garrett.jeffries.1@24259.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1780302158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 W 500 S # 217",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106230",
            "telephone_number": "540-809-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W 2600 S STE 340",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107768",
            "telephone_number": "801-683-9335",
            "fax_number": "385-300-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERIES",
        "first_name": "GARRETT",
        "middle_name": "TANNER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "11454012-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "garrett@mindanchorpsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "533 W 2600 S Ste 340",
            "city": "Bountiful",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840107768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.