Tiffany Cecilia Adames, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · South Jordan, UT

NPI 1871457697 · NPPES record last updated Dec 15, 2025

Key facts

NPI
1871457697
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
12782635-4405 (UT)
Practice address
1680 W Reunion Ave Ste 5a
South Jordan, UT 84095-4620
Phone
(385) 361-3001
NPI assigned
Dec 15, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12782635-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ageless Womens Health Ut LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12782635-4405 UT Yes

Addresses

Primary practice location

1680 W Reunion Ave Ste 5a
South Jordan, UT 84095-4620

Mailing address

11267 S Glen Croft LN
Sandy, UT 84070-6783

Other providers in South Jordan, UT

All providers in South Jordan, UT · Family Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.