Individual provider Active NPI

Valarie D Jacobs, APRN

  • Family Nurse Practitioner
  • Bountiful, UT
National Provider Identifier
1912480567
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348597-4405 Issued in UT
Practice address
230 S Main St
Bountiful, UT 84010-6236
Phone
(801) 784-8414
Fax
(385) 213-0093
NPI assigned
Sep 10, 2018
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 348597-4405 UT Primary
Family Medicine Physician 207Q00000X 348597-4405 UT

Addresses

Primary practice location

230 S Main St
Bountiful, UT 84010-6236

Mailing address

726 S Kays Dr
Kaysville, UT 84037-8402
Phone (801) 784-8414

Other practice location 1

276 S Main St
Bountiful, UT 84010-6236
Phone (801) 784-8414

Other practice location 2

4133 W Pioneer Pkwy
West Valley City, UT 84120-2058
Phone (801) 784-8414

Other practice location 3

2000 West Ashton Blvd
Ste 350
Lehi, UT 84043-6153
Phone (385) 455-7170

Other identifiers 1

IdentifierTypeStateIssuer
2018018306OtherUTANCC

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
I20181205001623 UT Practitioner - Nurse Practitioner 6103160999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valdar LLCGroup PAC ID 8123360534, 4 clinicians

Practice addresses (Care Compare)

230 S Main St
Bountiful, UT 84010-6236
Phone (801) 784-8414

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
348597-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Top Medical Now LLC Family Medicine CurrentSince Mar 22, 2023 Accepting new patients
Forward Medical PC Family Medicine PastSince Mar 20, 2025 Accepting new patients
Kalo Wellness, LLC PastSince Jul 9, 2023 Accepting new patients

Locations

230 S Main St
Bountiful, UT 84010
Phone (801) 477-8676

4133 W Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 784-8414

4133 W Pioneer Pkwy
Ste 110
West Valley City, UT 84120
Phone (801) 313-0555

Interoperability endpoints

  • Direct secure messaging: valarie.jacobs@topmedmd.directbygreenway.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1912480567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 S KAYS DR",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840378402",
            "telephone_number": "801-784-8414",
            "fax_number": "801-701-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106236",
            "telephone_number": "801-784-8414",
            "fax_number": "385-213-0093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 S Main St",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840106236",
            "country_code": "US",
            "telephone_number": "801-784-8414",
            "fax_number": "801-701-8189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4133 W Pioneer Pkwy",
            "address_purpose": "LOCATION",
            "city": "West Valley City",
            "state": "UT",
            "postal_code": "841202058",
            "country_code": "US",
            "telephone_number": "801-784-8414",
            "fax_number": "385-213-0093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 West Ashton Blvd",
            "address_2": "Ste 350",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840436153",
            "country_code": "US",
            "telephone_number": "385-455-7170",
            "fax_number": "888-523-5887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "VALARIE",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "348597-4405",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "348597-4405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2018018306",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.