Active NPI
Catholic Health Initiatives Colorado
Doing business as FMWJ Fam Med W Jor
- Family Medicine Physician
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Doing business as
- FMWJ Fam Med W Jor
- Practice address
- 1575 W 7000 S
West Jordan, UT 84084-3431 - Phone
- (801) 569-9133
- Fax
- (801) 233-7399
- NPI assigned
- Mar 21, 2023
- Last updated
- Nov 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angel J Skinner
- Title
- Administrator, Oma
- Phone
- (303) 673-7175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1575 W 7000 S
West Jordan, UT 84084-3431
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other names 3
- FMWJ FAM MED W JOR
- Family Medicine West Jordan
- Primary Care West Jordan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230615001995 | UT | Part B Supplier - Clinic/Group Practice | 8022927342 |
Receives reassigned benefits from 168 practitioners This NPI is an additional NPI on the enrollment Practice locations: South Jordan, UT; West Jordan, UT; West Valley, UT; West Valley City, UT; Eagle Mountain, UT; Salt Lake City, UT; Cottonwood Heights, UT; Kaysville, UT… |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D0949560 | Commonspirit Primary Care West Jordan | Certificate of waiver | Mar 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
1575 W 7000 S
West Jordan, UT 84084
Phone (801) 569-9133
1575 W 7000 S
Fl 1
West Jordan, UT 84084
Phone (801) 569-9133
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Murray, UT
- NPI 1144710401
-
- Medical Physician Assistant
- Murray, UT
- NPI 1558008714
-
- Anesthesiology Physician
- Cleveland, OH
- NPI 1851679351
-
- Family Medicine Physician
- Magna, UT
- NPI 1427443449
-
- Physician Assistant
- Rock Springs, WY
- NPI 1649560764
-
- Family Medicine Physician
- Arlington, WA
- NPI 1932693512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1922700095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 800022",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641800022",
"telephone_number": "800-953-0104",
"fax_number": "303-765-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 W 7000 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840843431",
"telephone_number": "801-569-9133",
"fax_number": "801-233-7399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-21",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "ANGEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR, OMA",
"authorized_official_telephone_number": "303-673-7175",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FMWJ FAM MED W JOR",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Family Medicine West Jordan",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Primary Care West Jordan",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Jordan, UT
- Catholic Health Initiatives Colorado (Sowj Surg Onc W Jor)
- Catholic Health Initiatives Colorado (Maternal Fetal Medicine Jordan Valley)
- Catholic Health Initiatives Colorado (Enwj Endo W Jor)
- Catholic Health Initiatives Colorado (PLWJ Pulm CC SM W Jor)
- Catholic Health Initiatives Colorado (Holy Cross Hospital - Jordan Valley)
- Matthew Cazier
- Centerville Medical Center (Maplewood Medical)
- Carina Chacon, APRN
- Steven H Chadwick, DDS
- Rudi Chamu, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.