KAITLYN HAYES PELLETIER (NPI# 1194345603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194345603 |
| Entity Type | Individual |
| Full Name | KAITLYN HAYES PELLETIER |
| Credential | APRN |
| Practice Address |
2000 Circle of Hope Dr # 1950 Salt Lake City UT 84112-5550 |
| Mailing Address |
1926 E Parkridge Dr Salt Lake City UT 84121-4857 |
| Practice Telephone | 2252789303 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
8382143-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2000 CIRCLE OF HOPE DR # 1950 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84112-5550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164986907 | Sara Anne Lorscheider | Physician Assistant | 2000 Circle of Hope Dr # 1950, Salt Lake City, UT 84112-5550 | 2019-01-25 |
| 1437772688 | Micaela Lopez | Registered Nurse | 2000 Circle of Hope Dr # 1950, Salt Lake City, UT 84112-5550 | 2020-05-22 |
| 1942836994 | Kaitlin Emmerling | Physician Assistant | 2000 Circle of Hope Dr # 1950, Salt Lake City, UT 84112-5550 | 2020-03-20 |
| 1922632447 | Seth Seay | Physical Therapist | 2000 Circle of Hope Dr # 1950, Salt Lake City, UT 84112-5550 | 2020-02-24 |
| 1306407820 | Lyndsay Anne Wixom | Registered Nurse | 2000 Circle of Hope Dr # 1950, Salt Lake City, UT 84112-5550 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
| 1740787407 | David Bradley Patch | Student in an Organized Health Care Education/Training Program | University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 | 2018-04-10 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1316493117 | Dana Friske | Specialist/Technologist | 290 S 1850 E, Room 103, Salt Lake City, UT 84112 | 2016-08-31 |
| 1548612435 | Frances Millett Johnson | Nurse Practitioner | 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 | 2016-07-05 |
| 1679920904 | Jason Lippman | Family Medicine | 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 | 2016-05-17 |
| 1447604335 | Joseph Mcbeth | Specialist/Technologist | 580 S. Guardsman Way, Salt Lake City, UT 84112 | 2016-04-18 |
| 1104213636 | Cameron Critchfield | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 | 2015-04-22 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in zip 84112 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013212802 | Your Home Clinic Company | Nurse Practitioner | 1032 Learned Ave, Salt Lake City, UT 84116-3302 | 2011-01-25 |
| 1558484808 | Cynthia Ann Newby | Nurse Practitioner | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2007-04-09 |
| 1083852677 | Jill Stratford Waldron | Nurse Practitioner | 50 North Medical Drive, University of Utah Cardiology Clinic #10, Salt Lake City, UT 84132 | 2009-02-04 |
| 1750308557 | Yvonne A Sehy | Nurse Practitioner | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2006-07-16 |
| 1023048634 | Lawrence Dixon | Nurse Practitioner | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2006-07-03 |
| 1720024714 | Jeanie Colbert O'donnell | Nurse Practitioner | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902850 | Ivora, Inc. | Nurse Practitioner | 13894 S Bangerter Pkwy Ste 200, Draper, UT 84020-5320 | 2020-11-06 |
| 1104398361 | Lisa Ann Ostrander | Nurse Practitioner | 1385 W 2200 S, Taylorsville, UT 84119-7205 | 2018-12-27 |
| 1336698091 | Marie Jo Borres | Nurse Practitioner | 2211 W 5100 S, Roy, UT 84067-3422 | 2016-09-22 |
| 1487761615 | Trenaisa Nay Consulting, LLC | Nurse Practitioner | 10171 Delsey Cv, South Jordan, UT 84095-7108 | 2006-08-24 |
| 1073533188 | Sandra Louise Mcnicoll | Nurse Practitioner | 5801 Fashion Blvd Ste 175, Murray, UT 84107-8115 | 2006-07-20 |
| 1447222849 | Perrine Johnson Anderson | Nurse Practitioner | 2773 Etienne Way, Sandy, UT 84093-1116 | 2006-02-02 |
| 1083610869 | Caregiver Support Network, Inc | Nurse Practitioner | 310 E 4500 S, Ste 200, Murray, UT 84107-3993 | 2005-06-25 |
| 1588215750 | Kimberly Rashelle Weir | Nurse Practitioner | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2019-09-27 |
| 1053897116 | Amber N Lovell | Nurse Practitioner | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2018-07-12 |
| 1396255360 | Bernard M Mutie | Nurse Practitioner | 12433 S Fort St, Draper, UT 84020-9363 | 2017-10-04 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84112 |
Please comment or provide details below to improve the information on KAITLYN HAYES PELLETIER.
| 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.