MS. THERESA J. MCCORMICK (NPI# 1164490520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164490520 |
| Entity Type | Individual |
| Full Name | MS. THERESA J. MCCORMICK |
| Credential | APRN |
| Practice Address |
1399 S 700 E Suite F-14 Salt Lake City UT 84105-2149 |
| Mailing Address |
507 Anderson Ave Murray UT 84123-5722 |
| Practice Telephone | 8015303725 |
| Practice Fax Number | 8012811709 |
| Mailing Telephone | 8016852380 |
| Mailing Fax Number | 8012811709 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
216295-9938 | UT | Nursing Service Providers |
| Street Address |
1399 S 700 E SUITE F-14 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84105-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720066442 | Debra Marie Quackenbush | Psychologist | 1399 S 700 E, Salt Lake City, UT 84105-2160 | 2006-01-03 |
| 1396133815 | Kellie Clement | Social Worker | 1399 S 700 E, Suite 1, Salt Lake City, UT 84105-2149 | 2015-01-06 |
| 1477837573 | Jason Durtschi | Social Worker | 1399 S 700 E, Salt Lake City, UT 84105-2149 | 2011-10-06 |
| 1376737676 | James M Struve Inc | Social Worker | 1399 S 700 E, Suite #2, Salt Lake City, UT 84105-2149 | 2007-08-29 |
| 1851583702 | Jeffrey Alan Bell | Social Worker | 1399 S 700 E, Suite 1, Salt Lake City, UT 84105-2149 | 2007-08-14 |
| 1013111996 | Charlotte J Ferrin | Psychologist | 1399 S 700 E, Suite 11, Salt Lake City, UT 84105-2149 | 2007-06-13 |
| 1043429749 | Kevin Del Lambert | Psychiatry & Neurology | 1399 S 700 E, Suite 5b, Salt Lake City, UT 84105-2149 | 2007-05-21 |
| 1851507057 | Pamela Swibel Plant | Psychologist | 1399 S 700 E, Suite 7, Salt Lake City, UT 84105-2149 | 2007-05-15 |
| 1235344763 | Kenneth L. Critchfield II | Psychologist | 1399 S 700 E, #9, Salt Lake City, UT 84105-2149 | 2007-05-10 |
| 1861613853 | Gary Joel Klein | Social Worker | 1399 S 700 E, Suite 11b, Salt Lake City, UT 84105-2149 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106237 | Laiyan H Bawadeen | Counselor | 1425 700 E Suite #102, Salt Lake City, UT 84105 | 2018-12-31 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1083089643 | Celisa Packer | Social Worker | 2020 E Lake St, Salt Lake City, UT 84105 | 2015-12-08 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1649548355 | Leland Burt Cowan | Surgery | 1405 Princeton Ave, Salt Lake City, UT 84105 | 2011-12-08 |
| 1639460355 | Sally Cathleen Webster | Counselor | 1248 Yale Avenue, Salt Lake City, UT 84105 | 2011-04-28 |
| 1912205105 | Melissa Wilson | Case Manager/Care Coordinator | 1522 S 1100 E, Salt Lake City, UT 84105 | 2011-03-11 |
| 1013215789 | Tamara Marie Wright | Counselor | 1996 Lake St, Salt Lake City, UT 84105 | 2011-03-04 |
| 1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
| 1508011180 | Keith Elliott | Anesthesiology | 1552 South 1000 East, Salt Lake City, UT 84105 | 2008-11-24 |
| Find all providers in zip 84105 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124048319 | Stella Blight | Registered Nurse | 500 S. Foothill Blvd, George Wahlen Vamc, Salt Lake City, UT 84109 | 2006-07-20 |
| 1629003900 | Helen L Stanhope | Registered Nurse | 1399 South 700 Easrt, Suite 17b, Salt Lake City, UT 84105 | 2006-07-12 |
| 1790727733 | Lisa Ann Jensen | Registered Nurse | Slc Va Health Care System, 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-06-12 |
| 1619955812 | John Richard Mitchell | Registered Nurse | 5965 South 900 East, Ste 240 Valley Mental Health Ad, Salt Lake City, UT 84121-1720 | 2006-01-06 |
| 1568449619 | Sue Ellen Fisher | Registered Nurse | 2994 Tolcate Ln, Salt Lake City, UT 84121-1529 | 2005-12-29 |
| 1497745301 | Debra Lynn Falvo | Registered Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2005-10-24 |
| 1043835630 | Cynthia Garbett | Registered Nurse | 265 E 100 S Ste 250, Salt Lake City, UT 84111-1643 | 2020-06-10 |
| 1700121332 | Christian Michael Judd | Registered Nurse | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124 | 2012-12-08 |
| 1538350749 | Samuel B Vincent | Registered Nurse | 404 S 400 W, Salt Lake City, UT 84101-2201 | 2007-08-05 |
| 1700908159 | Rebecca Clough | Registered Nurse | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2007-04-05 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84105 |
Please comment or provide details below to improve the information on MS. THERESA J. MCCORMICK.
| 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.