Individual provider Active NPI

Jinil K Harvey, APRN, FNP-BC

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1790925055
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3272014405 Issued in UT
Practice address
1055 N 300 W
Ste 401
Provo, UT 84604-3344
Phone
(801) 357-7499
Fax
(801) 373-5980
NPI assigned
Feb 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3272014405 UT Primary

Addresses

Primary practice location

1055 N 300 W
Ste 401
Provo, UT 84604-3344

Mailing address

1055 N 300 W
Ste 401
Provo, UT 84604-3344
Phone (801) 357-7499

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
I20090414000158 UT Practitioner - Nurse Practitioner 1951458728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Valley Ear Nose and Throat Associates PLLCGroup PAC ID 9335125855, 10 clinicians

Practice addresses (Care Compare)

3584 W 9000
Suite 311
West Jordan, UT 84088-4775
Phone (801) 566-8304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3272014405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Valley Ear Nose and Throat Associates, PLLC CurrentSince Aug 29, 2025 Accepting new patients

Locations

1225 E Fort Union Blvd
Ste 120
Midvale, UT 84047
Phone (801) 563-1116

1055 N 300 W
Ste 401
Provo, UT 84604
Phone (801) 375-4646

4651 W 13400 S
Ste 120
Riverton, UT 84096

3584 W 9000 S
Ste 311
West Jordan, UT 84088
Phone (801) 566-8304

Organizations & group practices 1

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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1790925055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W",
            "address_2": "STE 401",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043344",
            "telephone_number": "801-357-7499",
            "fax_number": "801-373-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W",
            "address_2": "STE 401",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043344",
            "telephone_number": "801-357-7499",
            "fax_number": "801-373-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "JINIL",
        "middle_name": "K",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "3272014405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.