MEDICARE: SHANE JAIMEZ NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	10975826-4405	UT

General Provider Information

NPI Number	:	1780156661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANE JAIMEZ NP

Provider Business Mailing Address
First Line	:	5097 S 900 E STE 100
Second Line	:
City	:	SALT LAKE CTY
State	:	UT
Zip	:	84117-5725
Country	:	US
Telephone Number	:	801-851-5554
Fax Number	:

Provider Business Practice Location Address
First Line	:	5097 S 900 E STE 100
Second Line	:
City	:	SALT LAKE CTY
State	:	UT
Zip	:	84117-5725
Country	:	US
Telephone Number	:	801-851-5554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2018
Last Update Date	:	11/28/2023

Similar Medicare Providers

1427467158 — TIMOTHY PICKETT P.A.
Practice Location Address:

5097 S 900 E STE 100
SALT LAKE CTY, UT
84117-5725

Practice Phone: 801-851-5554
Practice Fax:

1225647480 — KINDLY MD, INC.
Practice Location Address:

5097 S 900 E STE 100
MILLCREEK, UT
84117-5725

Practice Phone: 801-851-5554
Practice Fax: 833-464-2575

1013900661 — HOSPICE FOR UTAH INC.
Practice Location Address:

5097 S 900 E STE 100
MURRAY, UT
84117-5725

Practice Phone: 801-576-1455
Practice Fax:

1932633997 — PALLIATIVE CARE FOR UTAH LLC
Practice Location Address:

5097 S 900 E STE 100
MURRAY, UT
84117-5725

Practice Phone: 801-576-1455
Practice Fax: 801-576-1472

1750914446 — NICK BLAINE LAYTON PA
Practice Location Address:

5097 S 900 E STE 100
MURRAY, UT
84117-5725

Practice Phone: 801-851-5554
Practice Fax: 833-464-2575

1356950554 — DANIEL SMITH FNP
Practice Location Address:

5097 S 900 E STE 100
MURRAY, UT
84117-5725

Practice Phone: 801-414-8758
Practice Fax:

Directions to “ SHANE JAIMEZ NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.