Active NPI
Jessica Jimerson
- Family Medicine Physician
- St George, UT
National Provider Identifier
1801397831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7964760-4405
- Practice address
- 2986 Sandalwood Cir
St George, UT 84790-6962 - Phone
- (435) 275-2469
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7964760-4405 | UT | Primary |
| Family Nurse Practitioner | 363LF0000X | MSL7969760-3102UT | AZ |
Addresses
Primary practice location
2986 Sandalwood Cir
St George, UT 84790-6962
Mailing address
2986 Sandalwood Cir
St George, UT 84790-6962
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7964760-4405 | UT | MD | Family Medicine Physician |
| MSL7969760-3102UT | AZ | MD | Family Nurse Practitioner |
Interoperability endpoints
- jessica.jimerson.1@30520.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519603200000",
"number": "1801397831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2986 SANDALWOOD CIR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847906962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2986 SANDALWOOD CIR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847906962",
"telephone_number": "435-275-2469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMERSON",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-26",
"last_updated": "2018-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "7964760-4405",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "MSL7969760-3102UT",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.