JEREMY ANDERSON (NPI# 1144714296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144714296 |
| Entity Type | Individual |
| Full Name | JEREMY ANDERSON |
| Practice Address |
500 Foothill Dr Slc UT 84148-0001 |
| Practice Telephone | 8015821565 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | UT | Student, Health Care | |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922622968 | Jeremy Ken Anderson | Dentist | 9 Triangle Park Dr Ste 3, Concord, NH 03301-5790 | 2020-06-05 |
| 1457732760 | Jeremy Anderson | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2015-06-11 |
| 1730346362 | Jeremy Michael Anderson | Dentist | 2412 Meridian Rd, Victor, MT 59875 | 2008-05-21 |
| 1558495093 | Jeremy James Anderson | Chiropractor | 211 Euclid St, Grandview, WA 98930-1160 | 2007-03-15 |
| 1043312176 | Jeremy R Anderson | Pharmacist | 3041 Stonehedge Dr Ne, Mayo Clinic Family Clinic Northeast, Rochester, MN 55906-5426 | 2006-09-01 |
| 1942262621 | Jeremy Patrick Anderson | Optometrist | 227 E Blackstock Rd, Suite 200, Spartanburg, SC 29301-2632 | 2006-04-06 |
| 1649259680 | Jeremy Paul Anderson | Pharmacist | 221 4th Ave Sw, Rochester, MN 55905-0014 | 2006-01-10 |
| 1063405256 | Jeremy Wade Anderson | Optometrist | 1642 Mcarthur St, Manchester, TN 37355-2522 | 2005-08-24 |
| 1982196606 | Jeremy Anderson | Counselor | 110 Boston St, Salem, MA 01970-1402 | 2018-05-30 |
| 1427442342 | Jeremy Anderson | Physical Therapist | 1010 W Washington Center Rd, Fort Wayne, IN 46825-4155 | 2015-03-28 |
| Street Address |
500 FOOTHILL DR |
| City | SLC |
| State | UT |
| Zip Code | 84148-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770194979 | Kelli Dru Webster | Nurse Practitioner | 500 Foothill Dr, Slc, UT 84148-0001 | 2020-08-11 |
| 1245737543 | Janine Rene Pawlikowski | Case Manager/Care Coordinator | 500 Foothill Dr, Slc, UT 84148-0001 | 2018-04-12 |
| 1841517299 | Candice M Daniel | Psychologist | 500 Foothill Dr, Slc, UT 84148-0001 | 2010-04-26 |
| 1073750279 | Tracy Herrmann | Dietitian, Registered | 500 Foothill Dr, Slc, UT 84148-0001 | 2009-01-10 |
| 1306099007 | Tanya Michelle Miller | Psychologist | 500 Foothill Dr, Slc, UT 84148-0001 | 2008-10-28 |
| 1043384472 | Breana Celeste Pritchard | Social Worker | 500 Foothill Dr, Slc, UT 84148-0001 | 2006-11-18 |
| 1447272323 | Richard Sun Kyu Kwan Rose | Internal Medicine | 500 Foothill Dr, Slc, UT 84148-0001 | 2006-07-23 |
| 1770519167 | Mona Lea Ladue | Social Worker | 500 Foothill Dr, V Alor House, Slc, UT 84148-0001 | 2006-06-25 |
| 1205878964 | Vera Helene Draper | Audiologist | 500 Foothill Dr, Slc, UT 84148-0001 | 2006-06-10 |
| 1447247648 | J Todd Baker | Nurse Anesthetist, Certified Registered | 500 Foothill Dr, Slc, UT 84148-0001 | 2005-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211799 | Jacquelyn Rae Contant | Dietitian, Registered | 500 Foothill Dr. (120), Salt Lake City, UT 84148 | 2016-08-28 |
| 1699127811 | Taylor Alford | Pharmacist | 500 Foothills Drive, Salt Lake City, UT 84148 | 2016-07-12 |
| 1356792162 | Sarah Hummel | Genetic Counselor, MS | 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 | 2016-06-23 |
| 1174936140 | Elizabeth Shade Cardenas | Nurse Practitioner | 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 | 2014-06-08 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1790059038 | Deborah Ernstein Holley Hartzfeld | Genetic Counselor, MS | 615 Arapeen Drive #212, Salt Lake City, UT 84148 | 2012-03-05 |
| 1073823720 | Diana Lynn Robbins | Social Worker | 9140 W. Post Road, Las Vegas, NV 84148 | 2010-10-15 |
| 1659534394 | Katherine Margaret Dunn | Genetic Counselor, MS | 500 Foothill Drive (151z), Salt Lake City, UT 84148 | 2008-07-02 |
| 1730381625 | Douglas James Ball | Medical Genetics | Va Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148 | 2007-06-03 |
| 1245339530 | Daniel H Priestly | Radiology | 500 Foothill Dr., Salt Lake City, UT 84148 | 2006-09-22 |
| Find all providers in zip 84148 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710514609 | Thomas Berry Huffaker | Student in an Organized Health Care Education/Training Program | 2122 S Oneida St, Slc, UT 84109-1121 | 2020-03-23 |
| 1023576147 | Emma Lynn Kosbab | Student in an Organized Health Care Education/Training Program | 72 S Elizabeth St, Slc, UT 84102-1624 | 2019-03-07 |
| 1306295662 | Adrienne Dunlap | Student in an Organized Health Care Education/Training Program | 3610 E Aurora Cir, Slc, UT 84124-2235 | 2016-06-08 |
| 1457646010 | Breanne Nalder | Student in an Organized Health Care Education/Training Program | 4336 Sage Cir Apt A, Slc, UT 84124-2489 | 2011-06-12 |
| 1164051322 | Bryanna Cordeiro | Student in an Organized Health Care Education/Training Program | 1250 E 3900 S Ste 260, Slc, UT 84124-1371 | 2020-04-08 |
| 1144859307 | Robert Jones | Student in an Organized Health Care Education/Training Program | 1250 E 3900 S Ste 260, Slc, UT 84124-1371 | 2020-04-08 |
| 1962031138 | Son Trung Nguyen | Student in an Organized Health Care Education/Training Program | 1250 E 3900 S Ste 260, Slc, UT 84124-1371 | 2020-04-08 |
| 1295364586 | Adam James | Student in an Organized Health Care Education/Training Program | 1250 E 3900 S Ste 260, Slc, UT 84124-1371 | 2020-04-07 |
| 1811464076 | Olga Sambu | Student in an Organized Health Care Education/Training Program | 375 S Chipeta Way, Slc, UT 84108-1260 | 2018-10-25 |
| 1235655606 | Jessica Louis | Student in an Organized Health Care Education/Training Program | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2017-08-17 |
| Find all providers in SLC | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.