KELLI JEAN MOYLAN (NPI# 1144778192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144778192 |
| Entity Type | Individual |
| Full Name | KELLI JEAN MOYLAN |
| Credential | PA-C |
| Practice Address |
5121 S Cottonwood St Murray UT 84107-5701 |
| Mailing Address |
1352 E Waters Ln Sandy UT 84093-2226 |
| Practice Telephone | 8015079700 |
| Mailing Telephone | 8502121040 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10094033-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5121 S COTTONWOOD ST |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609873595 | Sarah Dawn Majercik | Surgery | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2005-07-07 |
| 1093312183 | Cherysh Hubbard Stock | Obstetrics & Gynecology | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-10-02 |
| 1922605062 | Sydney Schuessler | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-10-01 |
| 1790398931 | Elayne Manuela Pereira | Physical Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-27 |
| 1205449436 | Jared Hunt | Physical Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-27 |
| 1386256428 | Sarah Emily Boyt | Dietitian, Registered | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-19 |
| 1972111417 | Megan Neiheiser | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-21 |
| 1114535515 | Cory Ray Briggle | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-21 |
| 1528676509 | Melanie Nicole Emmerson | Genetic Counselor, MS | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-16 |
| 1205452844 | Kendall Snyder | Genetic Counselor, MS | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770929036 | Hayley Dawn Kemp | Physician Assistant | 5121 Cottonwood Street, Trauma Services, Murray, UT 84121-7552 | 2013-05-14 |
| 1669669388 | Theresa K Kulikowski | Physician Assistant | 5323 S Woodrow Street, Suite 200, Murray, UT 84107-5841 | 2007-09-26 |
| 1982739199 | Richard Jonathan Greene | Physician Assistant | 300 S 8th St Ste 374w, Murray, KY 42071-2446 | 2007-02-21 |
| 1174617773 | Meghan Lynn Smith | Physician Assistant | 5323 South Woodrow St., Sutie #102, Murray, UT 84107 | 2006-10-03 |
| 1306939350 | Kristin Gale Goeller | Physician Assistant | 5770 S 250 E Ste 415, Murray, UT 84107 | 2006-10-02 |
| 1932674413 | Hannah Stark | Physician Assistant | 181 E Medical Tower Dr, Murray, UT 84107-4872 | 2018-10-10 |
| 1063992022 | Fernando Rivero | Physician Assistant | 5171 S Cottonwood St Ste 740, Murray, UT 84107-5705 | 2018-08-20 |
| 1578096897 | Kelsey Gaid | Physician Assistant | 5169 S Cottonwood St Ste 320, Murray, UT 84107-6768 | 2017-04-04 |
| 1407398639 | Laura Elise Juarez | Physician Assistant | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2016-11-04 |
| 1417346172 | Linda Dinh Smith | Physician Assistant | 300 S 8th St, Suite 182 West, Murray, KY 42071-2400 | 2015-01-20 |
| Find all providers in MURRAY | ||||
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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.