JORDAN RIVER WOMEN'S HEALTH, P.C.
NPI 1699732123
Obstetrics & Gynecology in West Jordan, UT
About Jordan River Women's Health, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN RIVER WOMEN'S HEALTH, P.C. (NPI 1699732123) is a healthcare organization registered as an obstetrics & gynecology in West Jordan, Utah and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists Tazma Shaw, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan River Women's Health, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Jordan River Women's Health, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 46D0974887
Jordan River Women's Health, P C · West Jordan, UTFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jordan River Women's Health, P.C.'s NPI number?
The NPI number for Jordan River Women's Health, P.C. is 1699732123. It was assigned to this organization in the NPPES registry on April 27, 2006.
Where is Jordan River Women's Health, P.C. located?
Jordan River Women's Health, P.C. is located at 3584 W 9000 S Ste 206, West Jordan, UT 84088. The listed phone number is (801) 561-2227.
What is Jordan River Women's Health, P.C.'s specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Jordan River Women's Health, P.C. enrolled in Medicare?
Yes. Jordan River Women's Health, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jordan River Women's Health, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Jordan River Women's Health, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Obstetrics/Gynecology (4), Nurse Practitioner (2) and Certified Nurse Midwife (CNM) (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jordan River Women's Health, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D0974887) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Jordan River Women's Health, P.C. accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Jordan River Women's Health, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jordan River Women's Health, P.C. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jordan River Women's Health, P.c. · NPI 1699732123
Obstetrics & Gynecology organization in West Jordan, Utah. Organization record, active in the CMS NPPES registry since April 27, 2006.
## Identity
- **NPI:** 1699732123 (Entity type: Organization)
- **Enumerated:** April 27, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Tazma Shaw, OFFICE MANAGER
## Practice location
- **Address:** 3584 W 9000 S, STE 206, West Jordan, UT 84088-5710
- **Phone:** (801) 561-2227 · **Fax:** (801) 561-5353
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (4), Nurse Practitioner (2), Certified Nurse Midwife (CNM) (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699732123) · Data from the CMS NPPES public registry.