Dr. Jared W Henricksen, MD
Dr. Jared W Henricksen is a Pediatric Critical Care Medicine Physician provider (Pediatrics) practicing in Slc, UT, registered in the NPPES registry with NPI 1396762480 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396762480 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Jared W Henricksen |
| Credential | MD |
| Sex | Male |
| Practice address | 100 MARIO CAPECCHI DR, Slc, UT, 84113 |
| Phone | 8016621000 |
| Enumeration date | 2006-07-16 |
| Last updated in NPPES | 2022-04-25 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2080P0203X | Pediatric Critical Care Medicine Physician | Primary | 347933-1205 | UT |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Jared Henricksen, MD NPI: 1396762480 Taxonomy: 2080P0203X (Pediatric Critical Care Medicine Physician) Address: 100 MARIO CAPECCHI DR, Slc, UT, 84113
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1033111810 | Andrew Smith | Individual | Pediatric Critical Care Medicine Physician | Salt Lake City, UT |
| 1225012610 | Jeremy Meier | Individual | Otolaryngology Physician | Salt Lake City, UT |
| 1982682647 | Theophilus Owan | Individual | Interventional Cardiology Physician | Salt Lake City, UT |
| 1780658740 | Virginia Rollins | Individual | Family Nurse Practitioner | Salt Lake City, UT |
| 1972553014 | Hilary Saunders | Individual | Pediatric Nurse Practitioner | Salt Lake City, UT |
| 1902859473 | Alan Stotts | Individual | Orthopaedic Surgery Physician | Slc, UT |
| 1467405407 | Steven Bleyl | Individual | Clinical Genetics (M.D.) Physician | Salt Lake City, UT |
| 1922052604 | Pediatric Critical Care Department of University of Utah | Organization | Pediatric Critical Care Medicine Physician | Salt Lake City, UT |
Verify this record
Cross-check NPI 1396762480 against the authoritative CMS record: view Dr. Jared W Henricksen on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-04-25.