Active NPI
Garrett Tanner Jefferies
- Psychiatric/Mental Health Nurse Practitioner
- Bountiful, UT
National Provider Identifier
1780302158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11454012-4405
- 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
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221117003213 | UT | Practitioner - Nurse Practitioner | 1658749908 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah a Christensen PHD & Associates, Inc | Single Specialty | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.