IndividualActive
Derick Jensen
NPI 1659794402 · Community Health Worker · Slc, UT
Provider details
- NPI number
- 1659794402
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% 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
68 S 600 E
Slc, UT 84102-1007
Phone: (801) 322-1001
Fax: (801) 359-3864
Street-level locationGet directions
Mailing address
5410 W 13680 S
Herriman, UT 84096-1710
Registry dates
- Enumerated
- 2014-01-30
- Last updated
- 2014-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.