SUZANNE O'ROURKE ROTHBERG (NPI# 1205140043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205140043 |
| Entity Type | Individual |
| Full Name | SUZANNE O'ROURKE ROTHBERG |
| Credential | WHNP |
| Practice Address |
1906 W 3600 S West Valley City UT 84119-4715 |
| Mailing Address |
1115 E 200 S Salt Lake City UT 84102-2503 |
| Practice Telephone | 8019739675 |
| Mailing Telephone | 2182304108 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
6592021-4408 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1906 W 3600 S |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84119-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962497768 | Mitzi Marie Siebert | Registered Nurse | 1906 W 3600 S, West Valley City, UT 84119-4715 | 2005-09-18 |
| 1033687983 | Valerie Rebekah Birdsall | Nurse Practitioner | 1906 W 3600 S, West Valley City, UT 84119-4715 | 2018-11-08 |
| 1881010874 | Planned Parenthood Association of Utah | Pharmacy | 1906 W 3600 S, West Valley City, UT 84119-4715 | 2014-03-14 |
| 1326372764 | Heather Missy Berkel | Nurse Practitioner | 1906 W 3600 S, West Valley City, UT 84119-4715 | 2009-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033687983 | Valerie Rebekah Birdsall | Nurse Practitioner | 1906 W 3600 S, West Valley City, UT 84119-4715 | 2018-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652290 | Angela M Jones | Nurse Practitioner | 7691 S Alida Dr, West Jordan, UT 84084-3889 | 2020-06-04 |
| 1275185845 | Jennifer Hewlett | Nurse Practitioner | 6775 S Meadow Downs Way, Cottonwood Heights, UT 84121-6073 | 2019-07-12 |
| 1538635628 | Sarah Sanns | Nurse Practitioner | 1486 E Skyline Dr Ste 201, Ogden, UT 84405-4877 | 2018-10-16 |
| 1770070260 | Eastern Utah Womens Health LLC | Nurse Practitioner | 77 S 600 E Ste B, Price, UT 84501-3174 | 2018-04-19 |
| 1720503881 | Jennifer Elaine Lazzara | Nurse Practitioner | 3592 W 9000 S Ste 210, West Jordan, UT 84088-8819 | 2017-08-10 |
| 1659726511 | Erin Johnson Cole | Nurse Practitioner | 10 S 2000 E # Slc, Salt Lake City, UT 84112-5880 | 2016-04-28 |
| 1386063048 | Vennie Ying | Nurse Practitioner | 3090 E 3300 S Ste 100, Salt Lake City, UT 84109-2106 | 2014-04-10 |
| 1194157123 | Brianna Lastre | Nurse Practitioner | 1446 W Pleasant Grove Blvd., Pleasant Grove, UT 84062 | 2013-08-01 |
| 1912339078 | Melanie J Ward | Nurse Practitioner | 5063 S Cottonwood St Ste 120, Murray, UT 84107-6772 | 2013-07-31 |
| 1902112600 | Cecily Light | Nurse Practitioner | 1167 Bryan Ave, Salt Lake City, UT 84105-2507 | 2010-08-19 |
| Find all providers with the same taxonomy | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84119 |
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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.