McKenna Irene Smith, FNP-C, DNP, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12646883-4405 Issued in UT

Practice address

10654 S River Heights Dr Ste 210
South Jordan, UT 84095-5541

Phone

(801) 335-6728

NPI assigned

Jun 10, 2024

Last updated

Nov 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

University of Utah School of Medicine, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jordan Valley Dermatology Center LLCGroup PAC ID 5890019707, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jordan Valley Dermatology Center LLC

  • Dermatology Physician
  • West Jordan, UT
  • NPI 1558766477
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1811739907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10654 S RIVER HEIGHTS DR STE 210",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955541",
            "telephone_number": "801-569-1456",
            "fax_number": "801-565-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10654 S RIVER HEIGHTS DR STE 210",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955541",
            "telephone_number": "801-335-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MCKENNA",
        "middle_name": "IRENE",
        "credential": "FNP-C, DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12646883-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "12646883-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Smith, ACMHC
• Evan Smith
• Jill Ann Smith, R.N.
• Kaylee Smith
• Marissa Smith, CSW
• Rylin Smith
• Steven D Smith, D.M.D.
• Suzanne Smith, SLP
• Sydney Smith
• Tanille Smith, RD, CD, CEDS-C

• Family Nurse Practitioner in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.