Individual provider Active NPI

Lori K Jardine, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • St George, UT
National Provider Identifier
1861183022
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9645160-4405 Issued in UT
Practice address
393 E Riverside Dr Ste 102
Saint George, UT 84790-7122
Phone
(435) 703-5616
Fax
(435) 500-0015
NPI assigned
May 18, 2023
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9645160-4405 UT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9645160-4405 UT Primary

Addresses

Primary practice location

393 E Riverside Dr Ste 102
Saint George, UT 84790-7122

Mailing address

393 E Riverside Dr Ste 102
Saint George, UT 84790-7122
Phone (435) 703-5616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116000935 UT Practitioner - Nurse Practitioner 2769839554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1664 S Dixie Dr
Suite E102
St George, UT 84770-7329

Merit-based Incentive Payment System (MIPS)

Final score
89.69 of 100Reported as group
Quality
89.02
Promoting interoperability
85
Improvement activities
40
Cost
55.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Well-I-Am LLC Psychiatric/Mental Health CurrentSince Jan 19, 2026 Accepting new patients
Deborah a Christensen PHD & Associates, Inc CurrentSince Dec 1, 2023 Accepting new patients
Care Youth Corporation Past Accepting new patients

Locations

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

393 E Riverside Dr
Ste 102
St George, UT 84790
Phone (435) 862-1530

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1861183022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 E RIVERSIDE DR STE 102",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847907122",
            "telephone_number": "435-703-5616",
            "fax_number": "435-500-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E RIVERSIDE DR STE 102",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847907122",
            "telephone_number": "435-703-5616",
            "fax_number": "435-500-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDINE",
        "first_name": "LORI",
        "middle_name": "K",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9645160-4405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "9645160-4405",
            "primary": true
        }
    ],
    "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 Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.