KAREN E JACKSON (NPI# 1174545503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174545503 |
| Entity Type | Individual |
| Full Name | KAREN E JACKSON |
| Credential | PNP |
| Practice Address |
9720 S 1300 E #100 Sandy UT 84094-3712 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8015718550 |
| Mailing Telephone | 8015718550 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2124864405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720550775 | Karen Jackson | Clinic/Center | 104 Taggart Dr, Steens, MS 39766-9563 | 2018-12-31 |
| 1417402603 | Karen Jackson | Counselor | 6564 Crescent Grn, West Bloomfield, MI 48322-1323 | 2016-08-17 |
| 1083095889 | Karen Jackson | Developmental Therapist | 4825 Paris Ave, Jacksonville, FL 32209-3052 | 2015-06-17 |
| 1982084380 | Karen Jackson | Behavioral Analyst | 18842 120th Rd, Saint Albans, NY 11412-3617 | 2015-06-02 |
| 1780955864 | Karen P. Jackson | Social Worker | 1105 Terminal Way Ste 202, Reno, NV 89502-2162 | 2012-01-20 |
| 1194013284 | Karen C. Jackson | Speech-Language Pathologist | 7449 Heatherfield Ln, Alexandria, VA 22315-5292 | 2011-07-11 |
| 1730481862 | Karen Gayle Jackson | Counselor | 605 E Berry St Ste 109, Fort Worth, TX 76110-4300 | 2010-11-22 |
| 1316268188 | Karen F Jackson | Chore Provider | 136 Dockside Dr, Jacksonville, NC 28546-9768 | 2010-06-16 |
| 1124274774 | Karen Jackson | Nurse Practitioner | 107 Nicole Pl, Daphne, AL 36526-7614 | 2008-08-14 |
| 1881899607 | Karen Jackson | Occupational Therapist | 378 Black Point Rd, Scarborough, ME 04074-8619 | 2007-06-20 |
| Street Address |
9720 S 1300 E #100 |
| City | SANDY |
| State | UT |
| Zip Code | 84094-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821075912 | Larry D Fullmer | Physical Therapist | 9720 S 1300 E, #w200, Sandy, UT 84094-3712 | 2005-12-29 |
| 1700329091 | David R Boettger Md PC | Pediatrics | 9720 S 1300 E, Sandy, UT 84094-3712 | 2016-11-18 |
| 1124470133 | Katherine Heller | Nurse Practitioner | 9720 S 1300 E, Suite W-120, Sandy, UT 84094-3712 | 2016-07-01 |
| 1316357197 | Ihc Health Services Inc | Urology | 9720 S 1300 E, Ste E230, Sandy, UT 84094-3771 | 2014-05-02 |
| 1396186847 | Alex Mecham | Physical Therapist | 9720 S 1300 E, #w200, Sandy, UT 84094-3712 | 2013-07-12 |
| 1225479777 | Stephanie Shew | Physical Therapist | 9720 S 1300 E, #w200, Sandy, UT 84094-3712 | 2013-07-12 |
| 1508145111 | Ihc Health Services Inc | Family Medicine | 9720 S 1300 E, Ste E240, Sandy, UT 84094-3795 | 2011-08-12 |
| 1649560269 | Amy E Rapp | Pediatrics | 9720 S 1300 E, Suite 100, Sandy, UT 84094-3712 | 2011-04-15 |
| 1114185634 | Elisabeth A Ferlic | Urology | 9720 S 1300 E, Suite E230, Sandy, UT 84094-3712 | 2008-05-30 |
| 1891997557 | Woodrow Cannon Marriott | Pediatrics | 9720 S 1300 E, Suite E 100, Sandy, UT 84094-3712 | 2007-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
| Find all providers in zip 84094 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811490923 | Amy Flynn | Nurse Practitioner | 10220 S Roseboro Rd, Sandy, UT 84092-3860 | 2018-03-15 |
| 1801995568 | Tricia Marie Chavez | Nurse Practitioner | 11075 S State St Ste 33, Sandy, UT 84070-5183 | 2006-09-21 |
| 1689777690 | Sue Webb | Nurse Practitioner | 9829 S 1300 E Ste 101, Sandy, UT 84094-4064 | 2006-09-06 |
| 1023332335 | Loandra Berg | Nurse Practitioner | 9450 S 1300 E, Ste 110, Sandy, UT 84094-5555 | 2010-03-16 |
| 1174846349 | Angie Downward | Nurse Practitioner | 10150 Petunia Way, Sandy, UT 84092-4318 | 2010-03-02 |
| 1427253111 | Jonna Hobbs | Nurse Practitioner | 17055 Ruben Ln, Sandy, OR 97055-9276 | 2007-06-20 |
| 1699886580 | Jane E Sturtevant | Nurse Practitioner | 9500 S 1300 E, Sandy, UT 84094-3763 | 2006-08-31 |
| 1659397545 | Diane M. Kendall | Nurse Practitioner | 9720 S 1300 E, Ste 240, Sandy, UT 84094-3712 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787458 | Aspen Family Medicine Pllc | Nurse Practitioner | 36 N 1100 E # 36c, American Fork, UT 84003-2912 | 2020-10-14 |
| 1104433606 | Amy Lynn Dalton | Nurse Practitioner | 530 E 700 S, Orem, UT 84097-6340 | 2020-09-28 |
| 1497361224 | Gavin Woods | Nurse Practitioner | 1961 E Severn Cir, Holladay, UT 84124-1668 | 2020-09-17 |
| 1265045058 | Mary Cole | Nurse Practitioner | 512 E 200 N, Bountiful, UT 84010-3560 | 2020-08-31 |
| 1750993341 | Allyson Roberts | Nurse Practitioner | 12257 S Business Park Dr, Draper, UT 84020-8126 | 2020-08-17 |
| 1477162295 | Mary Kathryn Ann Larson | Nurse Practitioner | 976 S 1925 W, Orem, UT 84059-2306 | 2020-07-28 |
| 1952929358 | Jamee Schelin | Nurse Practitioner | 252 W Colorado Dr, Midvale, UT 84047-7350 | 2020-07-12 |
| 1619594371 | Aubrie Nicole Carter | Nurse Practitioner | 122 E 1700 S Bldg 3, Provo, UT 84606-5644 | 2020-06-29 |
| 1225657117 | Laura Elizabeth Johnson | Nurse Practitioner | 3659 S 2245 E, Salt Lake Cty, UT 84109-2943 | 2020-04-11 |
| 1982231312 | Jamison Rees | Nurse Practitioner | 4403 Harrison Blvd Ste 4640, Ogden, UT 84403-3304 | 2020-03-25 |
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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.