Individual provider Active NPI

Jennifer Jill Stone, APRN PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cottonwood Heights, UT
National Provider Identifier
1992565246
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13410138-4405 Issued in UT
Practice address
7926 S Chadbourne Dr # B
Cottonwood Heights, UT 84121-5809
Phone
(603) 545-4844
NPI assigned
Mar 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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 13410138-4405 UT Primary

Addresses

Primary practice location

7926 S Chadbourne Dr # B
Cottonwood Heights, UT 84121-5809

Mailing address

7926 S Chadbourne Dr # B
Cottonwood Heights, UT 84121-5809
Phone (603) 545-4844

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
I20250131000898 UT Practitioner - Nurse Practitioner 3072042357 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Levo LLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

121 W Election Rd
Ste 140
Draper, UT 84020
Phone (385) 382-1555

498 N Kays Dr
Ste 200
Kaysville, UT 84037
Phone (385) 382-1555

Interoperability endpoints

  • Direct secure messaging: jens@am-ut.direct.office.nextgen.com

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": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1992565246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7926 S CHADBOURNE DR # B",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215809",
            "telephone_number": "603-545-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7926 S CHADBOURNE DR # B",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215809",
            "telephone_number": "603-545-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "JENNIFER",
        "middle_name": "JILL",
        "credential": "APRN PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "13410138-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

Verify at the official NPI Registry.