ANGIE MAY JENSEN (NPI# 1235784562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235784562 |
| Entity Type | Individual |
| Full Name | ANGIE MAY JENSEN |
| Credential | APRN |
| Practice Address |
1380 E Medical Center Dr St George UT 84790-2123 |
| Practice Telephone | 4352515200 |
| Mailing Telephone | 4352515200 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
6206339-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1380 E MEDICAL CENTER DR |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144216292 | Holly A Gore | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2005-09-23 |
| 1659971109 | Fran Vakalahi | Pharmacist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-10-26 |
| 1396352001 | Conni Elms | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-09-26 |
| 1659996304 | Ian Andrus | Pharmacist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-06-09 |
| 1588287320 | Paul Siddoway Cochran | Nurse Practitioner | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-05-27 |
| 1083235618 | Don Benjamin Wilson | Pharmacist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-05-05 |
| 1427680651 | Kimberly Hull | Dietitian, Registered | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-02-05 |
| 1255971198 | Pathology Services Inc | Pathology | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-01-08 |
| 1356988604 | Gregory Seth Orton | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2019-12-05 |
| 1326683897 | Amelia E Ence | Occupational Therapist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2019-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588057152 | Lisa Certonio | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2015-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194242925 | Jeanette Louise Seidel | Nurse Practitioner | 50 N Medical Dr Bldg 525, Salt Lake City, UT 84132-0001 | 2017-08-23 |
| 1588095376 | Chrisitne Peterson | Nurse Practitioner | 1034 W 500 N, Provo, UT 84601-2537 | 2013-12-05 |
| 1912299678 | Katie Emerson | Nurse Practitioner | 2522 W 2250 N, Lehi, UT 84043-5745 | 2011-05-12 |
| 1336323336 | Kristine Antonelli Karlsen | Nurse Practitioner | 9033 Flint Way, Park City, UT 84098-5851 | 2007-12-26 |
| 1649815879 | Jessica Ricaurte | Nurse Practitioner | 1034 N 500 W, Provo, UT 84604-3380 | 2019-11-12 |
| 1598313603 | Natalie Marie Collier | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-09-01 |
| 1073160362 | Julia Christine Thomas | Nurse Practitioner | 100 N Mario Capecchi Dr, Slc, UT 84113-1103 | 2019-08-21 |
| 1386291649 | Anjeanette Newton | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-08-21 |
| 1952957607 | Allison Kendall | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-08-16 |
| 1861047334 | Elizabeth Anne Elliott | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-08-01 |
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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.