Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Lovell Shumway, PA, ATC

Individual provider Athletic Trainer · NPI 1932733771

Jordan Lovell Shumway, PA, ATC is a Physician Assistant in Salt Lake City, Utah. Qualified in 2023, 3 years ago. Practices with Vitalcare Health Services PC, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

333 N 300 W
Salt Lake City, UT 84103-1215
Phone: (801) 463-7415
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12227421-1206 (UT)
Athletic Trainer Taxonomy 2255A2300X · Licence BOC373277 (UT)

Record details

NPI number1932733771
Entity typeIndividual (Type 1)
GenderMale
Credentials PA , ATC
Sole proprietorNo
NPI enumeratedMarch 2, 2020
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Vitalcare Health Services Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

Other providers in Salt Lake City