DR. KERI LYNN FAKATA (NPI# 1164666327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164666327 |
| Entity Type | Individual |
| Full Name | DR. KERI LYNN FAKATA |
| Credential | PHARMD |
| Practice Address |
3838 S 700 E Suite 200 Salt Lake City UT 84106-1466 |
| Practice Telephone | 8012614988 |
| Practice Fax Number | 8012699427 |
| Mailing Telephone | 8012614988 |
| Mailing Fax Number | 8012699427 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
4946621-1701 | UT | Pharmacy Service Providers |
| Street Address |
3838 S 700 E SUITE 200 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106-1466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561072 | Arun V Bidwai | Anesthesiology | 3838 S 700 E, Salt Lake City, UT 84106-1496 | 2005-07-08 |
| 1720527245 | Helen Powell | Nurse Practitioner | 3838 S 700 E, Ste 100, Salt Lake City, UT 84106-1466 | 2017-02-16 |
| 1851840706 | Paula Weaver | Physician Assistant | 3838 S 700 E, Salt Lake City, UT 84106-1466 | 2016-10-03 |
| 1346644135 | Deborah Hatch | Physician Assistant | 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1466 | 2014-10-22 |
| 1770836397 | Scott William Hadfield | Physician Assistant | 3838 S 700 E, Suite 300a, Salt Lake City, UT 84106-1466 | 2012-10-19 |
| 1417253907 | Omega Interventional Pain Pllc | Anesthesiology | 3838 S 700 E, Ste 300, Salt Lake City, UT 84106-1466 | 2011-02-01 |
| 1336442680 | Anita Mcdonald | Nurse Practitioner | 3838 S 700 E, Ste 100, Salt Lake City, UT 84106-1466 | 2010-12-08 |
| 1548599814 | Shauna Olsen | Nurse Practitioner | 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1466 | 2009-12-16 |
| 1376773556 | Kristin Elizabeth Barber | Nurse Practitioner | 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1466 | 2009-07-21 |
| 1437343613 | Suzanne Senser | Physical Therapist | 3838 S 700 E, Suite 300a, Salt Lake City, UT 84106-1466 | 2007-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
| 1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
| Find all providers in zip 84106 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092249 | William Albert Jones | Pharmacist | 6173 S Haven Moor Cir, Salt Lake City, UT 84121-6525 | 2020-10-27 |
| 1639795198 | Jennifer Babin | Pharmacist | 30 S 2000 E Rm 4779, Salt Lake City, UT 84112-5820 | 2020-06-21 |
| 1225571482 | Mohamed Sallout | Pharmacist | Va Salt Lake City Mail Code 110 Poc, 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2016-11-21 |
| 1720410624 | Brianne Marie Wolfe | Pharmacist | 2641 E Stringham Ave Apt 301c, Salt Lake City, UT 84109-3984 | 2013-08-01 |
| 1477789022 | Angela Kristine Flint | Pharmacist | George E Wahlen Veterans Affiars Medical Ctr, 500 Foothill Drive - 119, Salt Lake City, UT 84148-0001 | 2009-06-09 |
| 1902407240 | David Andrew Feolo | Pharmacist | 845 E 4500 S, Salt Lake City, UT 84107-3049 | 2020-11-03 |
| 1376150953 | Annette Sprankle | Pharmacist | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-09-28 |
| 1922611961 | Joseph Eli Bergen | Pharmacist | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2020-08-28 |
| 1790305795 | Reham Simon Khoury | Pharmacist | 922 E 2100 S, Salt Lake City, UT 84106-2364 | 2020-04-20 |
| 1851942080 | Claire Jean Benvegu | Pharmacist | 455 S 500 E, Salt Lake City, UT 84102-2753 | 2019-09-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84106 |
Please comment or provide details below to improve the information on DR. KERI LYNN FAKATA.
| 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.