Individual provider Active NPI

Patricia Anne Major Willardson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • South Jordan, UT
National Provider Identifier
1891551370
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7396608-4405 Issued in UT
Practice address
10437 S Jordan Gtwy
South Jordan, UT 84095-3915
Phone
(801) 503-9211
NPI assigned
Feb 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7396608-4405 UT Primary

Addresses

Primary practice location

10437 S Jordan Gtwy
South Jordan, UT 84095-3915

Mailing address

1221 S Valley Grove Way Ste 1601221S
Pleasant Grove, UT 84062-6753
Phone (801) 477-7189

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
I20260109000458 UT Practitioner - Nurse Practitioner 4587140587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whole Mind LLCGroup PAC ID 6406228220, 15 clinicians

Practice addresses (Care Compare)

1221 S Valley Grove Way
Suite 160
Pleasant Grove, UT 84062-6758
Phone (801) 477-7189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7396608-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Mind LLC CurrentSince Sep 26, 2025 Accepting new patients

Locations

584 E 12300 S
Draper, UT 84020

1221 S Valley Grove Way
Ste 1601221S
Pleasant Grove, UT 84062

1221 S Valley Grove Way
Ste 160
Pleasant Grove, UT 84062
Phone (801) 447-7189

10437 S Jordan Gtwy
South Jordan, UT 84095
Phone (801) 571-7710

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": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1891551370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S VALLEY GROVE WAY STE 1601221S",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840626753",
            "telephone_number": "801-477-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10437 S JORDAN GTWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953915",
            "telephone_number": "801-503-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJOR WILLARDSON",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "7396608-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.