CRESCENT HEALTH CLINIC
NPI 1780397224
Nurse Practitioner - Psychiatric/Mental Health in South Jordan, UT

Active since December 29, 2022
11193 S REDWOOD RD STE 102N, SOUTH JORDAN, UT 84095(385) 438-3255(385) 900-1234 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 6, 2023, Dec 29, 2022 (2 updates tracked since 2022).

About Crescent Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESCENT HEALTH CLINIC (NPI 1780397224) is a healthcare organization registered as a psychiatric/mental health in South Jordan, Utah and active in the NPI registry since December 2022. The organization lists Jay Kansagra, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780397224
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCRESCENT HEALTH CLINIC
Location Address11193 S REDWOOD RD STE 102NSouth Jordan, UT 84095-8208
Mailing Address11193 S Redwood Rd Ste 102nSouth Jordan, UT 84095-8208 · (385) 438-3255 · Fax (385) 900-1234
Fax(385) 900-1234
Organization SubpartNo
Authorized OfficialJay KansagraCeo · (385) 438-3255
Enumeration DateDecember 29, 2022
Last NPPES UpdateJanuary 6, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
NPI 1780397224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
11193 S REDWOOD RD STE 102N, South Jordan, UT 84095

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
11193 S REDWOOD RD STE 102N
SOUTH JORDAN, UT 84095

Frequently 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 Crescent Health Clinic's NPI number?

The NPI number for Crescent Health Clinic is 1780397224. It was assigned to this organization in the NPPES registry on December 29, 2022.

Where is Crescent Health Clinic located?

Crescent Health Clinic is located at 11193 S Redwood Rd Ste 102N, South Jordan, UT 84095. The listed phone number is (385) 438-3255.

What is Crescent Health Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Crescent Health Clinic accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Crescent Health Clinic 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 Crescent Health Clinic was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.