JESSICA DAWN JEWELL (NPI# 1164709671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164709671 |
| Entity Type | Individual |
| Full Name | JESSICA DAWN JEWELL |
| Credential | M.S. |
| Practice Address |
2065 Sidewinder Dr Ste. 102 Park City UT 84060-7216 |
| Mailing Address |
Po Box 259 Midway UT 84049-0259 |
| Practice Telephone | 8016336094 |
| Mailing Telephone | 8016336094 |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2011-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7091340-6004 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437587235 | Jessica Jewell | Social Worker | 716 Adair Ave, Zanesville, OH 43701-2836 | 2013-10-15 |
| 1710297270 | Jessica Jo Jewell | Nurse Practitioner | 1000 E Primrose St, Suite 400, Springfield, MO 65807-5154 | 2010-10-18 |
| 1891926416 | Jessica M Jewell | Specialist/Technologist | 1250 N Bellflower Blvd, Long Beach, CA 90840-3025 | 2009-07-30 |
| Street Address |
2065 SIDEWINDER DR STE. 102 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84060-7216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233920 | Livecare, Inc. | Nursing Care | 1830 Prospector Avenue, Park City, UT 84060 | 2020-04-02 |
| 1063904266 | Louise Knetzger Gallagher | Acupuncturist | 1107 Woodside Ave, Park City, UT 84060 | 2018-06-04 |
| 1942753421 | Valerie Alison Mey | Dietitian, Registered | 2985 Arabian Dr, Park City, UT 84060 | 2016-08-01 |
| 1659720936 | Vibrant Health PC | Anesthesiology | 1910 Prospector Ave Suite 302, Park City, UT 84060 | 2016-06-08 |
| 1538538657 | Pamela Hilbert | Dentist | 1830 Prospector Ave., Park City, UT 84060 | 2015-09-18 |
| 1174904924 | Julie Anna Bullen | Counselor | 2300 Monitor Drive, Park City, UT 84060 | 2015-06-17 |
| 1265825319 | William Gary Smith | Obstetrics & Gynecology | 2501 Creek Drive, Park City, UT 84060 | 2015-03-13 |
| 1497026330 | Earl Warren Stadler Jr. | Physical Medicine & Rehabilitation | 1500 Three Kings Drive Unit 31, Park City, UT 84060 | 2012-01-24 |
| 1538454541 | Belinda Duncan | Pharmacist | 2700 E Deer Valley Dr B105, Park City, UT 84060 | 2011-06-17 |
| 1184888315 | Cody Michael Calderwood | Dentist | 1600 Snow Creek Dr Ste A, Park City, UT 84060 | 2008-07-16 |
| Find all providers in zip 84060 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912389834 | Sherilyn Dalke | Counselor | 4711 N Briargate Ct, Park City, KS 67219-5535 | 2015-06-27 |
| 1124422878 | Rowlin Busch | Counselor | 601 Matterhorn Dr, Park City, UT 84098-5238 | 2014-10-09 |
| 1285947390 | Phyllis A. Rehn | Counselor | 4118 Saddleback Rd, Park City, UT 84098-4862 | 2010-07-17 |
| 1467775882 | Angelique Mary Poncelet | Counselor | 1753 Sidewinder Dr # S200, Park City, UT 84060-7258 | 2010-03-12 |
| 1073791729 | Thomas Roger Peay | Counselor | 2559 Aspen Springs Dr, Park City, UT 84060-7538 | 2008-02-05 |
| 1891997276 | Kara Lynne Jensen | Counselor | 1283 Deer Valley Dr, Park City, UT 84060-5104 | 2007-06-05 |
| 1831319219 | Deborah Deena Cupal | Counselor | 497 Goshawk Ranch Rd., Park City, UT 84098 | 2007-04-26 |
| 1275697740 | Tamala S. Hubbard | Counselor | 3070 Rasmussen Rd, Park City, UT 84098-5486 | 2006-12-20 |
| 1770646895 | Pamela Leigh Mason | Counselor | 1887 Gold Dust Lane, Park City, UT 84060 | 2006-12-19 |
| 1811002967 | Elizabeth A Dosher | Counselor | 7933 Cedar Way, Park City, UT 84098-5177 | 2006-08-20 |
| Find all providers in PARK CITY | ||||
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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.