JENNIFER SMITH SHAW APRN NPI 1104253954

NPI Information

  • NPI: 1104253954
  • Provider Name: JENNIFER SMITH SHAW, APRN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1950 CIRCLE OF HOPE
    SALT LAKE CITY, UT
    ZIP 84112
  • Phone: (801) 585-0100

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NPI Details

Jennifer Smith Shaw, APRN is an adult health nurse practitioner in Salt Lake City, UT with 13 years of experience. Jennifer Smith Shaw, APRN NPI is 1104253954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1950 CIRCLE OF HOPE
SALT LAKE CITY, UT
ZIP 84112-550
Phone: (801) 585-0100
Fax: (801) 581-7575

The NPI 1104253954 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)

The enumeration date for this NPI number is 10/10/2013 and was last updated on 10/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology275995-4405UTAHNo
2363L00000XNurse Practitioner275995-4405UTAHNo
3363LP2300XNurse PractitionerPrimary Care275995-4405UTAHNo
4363LA2200XNurse PractitionerAdult Health275995-4405UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1275995-4405OTHERUTAHUTAH APRN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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