GERRY JO BENNETT (NPI# 1215297353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215297353 |
| Entity Type | Individual |
| Full Name | GERRY JO BENNETT |
| Credential | R.N. |
| Practice Address |
Department of Veterans Affairs 500 Foothill Blvd Salt Lake City UT 84148-0001 |
| Mailing Address |
2486 Brookglen Dr Sandy UT 84092-7148 |
| Practice Telephone | 8015821565 |
| Practice Fax Number | 8015842557 |
| Mailing Telephone | 8015821565 |
| Mailing Fax Number | 8015842557 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
212587-3102 | UT | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DOPL ACTIVE LICENSE | 212587-3102 | 01 |
| Street Address |
DEPARTMENT OF VETERANS AFFAIRS 500 FOOTHILL BLVD |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84148-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211799 | Jacquelyn Rae Contant | Dietitian, Registered | 500 Foothill Dr. (120), Salt Lake City, UT 84148 | 2016-08-28 |
| 1699127811 | Taylor Alford | Pharmacist | 500 Foothills Drive, Salt Lake City, UT 84148 | 2016-07-12 |
| 1356792162 | Sarah Hummel | Genetic Counselor, MS | 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 | 2016-06-23 |
| 1174936140 | Elizabeth Shade Cardenas | Nurse Practitioner | 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 | 2014-06-08 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1790059038 | Deborah Ernstein Holley Hartzfeld | Genetic Counselor, MS | 615 Arapeen Drive #212, Salt Lake City, UT 84148 | 2012-03-05 |
| 1073823720 | Diana Lynn Robbins | Social Worker | 9140 W. Post Road, Las Vegas, NV 84148 | 2010-10-15 |
| 1659534394 | Katherine Margaret Dunn | Genetic Counselor, MS | 500 Foothill Drive (151z), Salt Lake City, UT 84148 | 2008-07-02 |
| 1730381625 | Douglas James Ball | Medical Genetics | Va Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148 | 2007-06-03 |
| 1245339530 | Daniel H Priestly | Radiology | 500 Foothill Dr., Salt Lake City, UT 84148 | 2006-09-22 |
| Find all providers in zip 84148 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295119774 | Patrick Gee | Registered Nurse | 500 Foothill Dr, Mail Stop 111 Bc, Salt Lake City, UT 84148-0001 | 2015-07-15 |
| 1104188846 | Susan Jan Haug | Registered Nurse | Veterans Affairs Medical Ctr, 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2012-06-08 |
| 1588924211 | Rilla Annette Liles | Registered Nurse | 500 Foothill Dr, Salt Lake City, UT 84148 | 2012-05-29 |
| 1669732335 | Laurel Heath Young | Registered Nurse | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2012-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336530328 | Jessica Parenteau | Registered Nurse | 6562 S Grayline Ct, West Jordan, UT 84081-5525 | 2015-02-11 |
| 1831641042 | Brent Mcdonald | Registered Nurse | 6822 E 1000 S, Ft Duchesne, UT 84026 | 2016-11-04 |
| 1265794531 | Elizabeth Henry Ireland | Registered Nurse | 982 Chambers St, South Ogden, UT 84403-4571 | 2012-06-13 |
| 1275895948 | Shannon Kartchner | Registered Nurse | 2750 S 5600 W, Suite B, West Valley City, UT 84120-1249 | 2012-06-08 |
| City | SALT LAKE CITY |
| Zip Code | 84148 |
Please comment or provide details below to improve the information on GERRY JO BENNETT.
| 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.