JENNIFER L. UTTERBACK (NPI# 1174959365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174959365 |
Entity Type | Individual |
Full Name | JENNIFER L. UTTERBACK |
Credential | FNP |
Practice Address |
20 Nw R.d. Mize Road Emergency Department Blue Springs MO 64014-4411 |
Mailing Address |
201 Nw R D Mize Rd Emergency Department Blue Springs MO 64014-2513 |
Practice Telephone | 8166555472 |
Mailing Telephone | 8166555472 |
Enumeration Date | 2013-09-19 |
Last Update Date | 2017-01-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013032468 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 1174959365 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548889082 | Jennifer Utterback | Pharmacist | 2551 W Cermak Rd, Chicago, IL 60608-3719 | 2020-04-14 |
1104988260 | Jennifer Lynn Utterback | Occupational Therapist | 6000 Hospital Drive, Hannibal Regional Hospital, Hannibal, MO 63401 | 2006-12-15 |
Street Address |
20 NW R.D. MIZE ROAD EMERGENCY DEPARTMENT |
City | BLUE SPRINGS |
State | MO |
Zip Code | 64014-4411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
1790397198 | Miranda Bramble | Pharmacist | 1701 Nw Highway 7, Blue Springs, MO 64014 | 2020-08-18 |
1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
1083027411 | Alex Sharifian Dds Blue Springs Dentistry PC | Dentist | 1205 Ne Coronado Drive, Blue Springs, MO 64014 | 2014-06-03 |
1730512336 | Valerie Fombon | Pharmacist | 625 W 40 Hwy, Blue Springs, MO 64014 | 2013-08-19 |
1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
Find all providers in zip 64014 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
1801401740 | Chelse Morgan Beck-vannatter | Nurse Practitioner | 20511 E Trinity Pl, Blue Springs, MO 64015-9501 | 2020-09-08 |
1720619323 | Rachel Marie Marks | Nurse Practitioner | 601 Ne Fox Trail Dr, Blue Springs, MO 64014-1785 | 2020-02-01 |
1114581287 | Terisa M. Mcginnis | Nurse Practitioner | 4715 W Us 40 Hwy, Blue Springs, MO 64015-0951 | 2019-04-24 |
1831657527 | Patrick Gayle Jensen | Nurse Practitioner | 2801 Nw Castle Dr, Blue Springs, MO 64015-2881 | 2019-03-12 |
1023551116 | Rachel Brown | Nurse Practitioner | 3514 Sw Jackson St, Blue Springs, MO 64015-7420 | 2016-11-22 |
1942759444 | Ann Barela | Nurse Practitioner | 104 Nw State Route 7, Suite B, Blue Springs, MO 64014-2726 | 2016-09-25 |
1881053544 | Lisa Martin | Nurse Practitioner | 3201 S 7 Hwy, Blue Springs, MO 64014-5301 | 2016-02-23 |
1083004022 | Christina Shelton | Nurse Practitioner | 1151 County Road 197, Blue Springs, MS 38828-9142 | 2015-01-29 |
1023396314 | Adrienne E Menghini | Nurse Practitioner | 1501 Nw Jefferson St, Blue Springs, MO 64015-7242 | 2011-08-03 |
Find all providers in BLUE SPRINGS |
City | BLUE SPRINGS |
Zip Code | 64014 |
Please comment or provide details below to improve the information on JENNIFER L. UTTERBACK.
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.