OrganizationActive
Jennifer W. Anderson
NPI 1194905174 · Family Nurse Practitioner · Salt Lake City, UT
Provider details
- NPI number
- 1194905174
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jennifer Anderson, Owner(801) 634-5366
- License
- 198045-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8006 S Mountain Oaks Dr
Salt Lake City, UT 84121-5921
Phone: (801) 634-5366
Street-level locationGet directions
Mailing address
Po Box 150173
Ogden, UT 84415-0173
Registry dates
- Enumerated
- 2007-11-07
- Last updated
- 2013-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.