Jennifer Moore, AGACNP-BC, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

7014826-4405 Issued in UT

Practice address

5089 W Duckhorn Dr
South Jordan, UT 84009-8145

Phone

(801) 362-4227

NPI assigned

May 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

University of Utah School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Diabetic Foot SolutionsGroup PAC ID 5496129017, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Diabetic Foot Solutions

  • Foot & Ankle Surgery Podiatrist
  • Orem, UT
  • NPI 1366158602
  Medicare reassignment Care Compare group
• Obstetrix Medical Group of Utah, PC

  • Maternal & Fetal Medicine Physician
  • Salt Lake City, UT
  • NPI 1457627507
  NPD (past)

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1962086165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5089 W DUCKHORN DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840098145",
            "telephone_number": "801-362-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5089 W DUCKHORN DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840098145",
            "telephone_number": "801-362-4227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 N 400 W Ste B7",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840571909",
            "country_code": "US",
            "telephone_number": "801-797-0097",
            "fax_number": "877-690-5163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JENNIFER",
        "credential": "AGACNP-BC, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "7014826-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanora Montag, PHARM D
• Isabella Montejo Velasco
• Montera Health Utah LLC
• Samuel Druce Montmorency
• Grace Ellen Moore, RDN
• Caio Moraes Rego
• Deborah Elizabeth Morgan, DNP, APRN, PMHNP-BC
• Makenna Aleece Morgan, LCSW
• Pamela Morrison, RDN, CSO
• Kumiko Isomichi Morse, ACMHC

• Nurse Practitioner in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.