GRACE-MAE CACHERO GENITIANO KELLY


Address: 4460 S Highland Dr, Slc, UT 84124-3543
Phone: 8889494864

GRACE-MAE CACHERO GENITIANO KELLY (NPI# 1265916639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265916639
Entity Type Individual
Full Name GRACE-MAE CACHERO GENITIANO KELLY
Practice Address 4460 S Highland Dr
Slc
UT 84124-3543
Practice Telephone 8889494864
Enumeration Date 2018-09-20
Last Update Date 2019-11-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
6300561-4405 UT Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4460 S HIGHLAND DR
City SLC
State UT
Zip Code 84124-3543

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780156414 Cara Hill Community Health Worker 4460 S Highland Dr, Slc, UT 84124-3543 2018-12-19
1891277521 Cheryl Christy Counselor 4460 S Highland Dr, Slc, UT 84124-3543 2018-08-29
1356820872 Travis Pentz Miller Behavior Technician 4460 S Highland Dr, Slc, UT 84124-3543 2018-08-07
1548765761 Megan Argyle Technician/Technologist 4460 S Highland Dr, Slc, UT 84124-3543 2018-03-28
1225572167 Briann Rachele Titcomb Counselor 4460 S Highland Dr, 230, Slc, UT 84124-3543 2016-12-12
1710420831 John Allen Counselor 4460 S Highland Dr, 203, Slc, UT 84124-3543 2016-11-21
1255882023 Olivia Hu Counselor 4460 S Highland Dr, Slc, UT 84124-3543 2016-10-17
1003364001 Levi Ernest Counselor 4460 S Highland Dr, Suite 230, Slc, UT 84124-3543 2016-09-19
1770039836 Georgina Bellazetin Counselor 4460 S Highland Dr, #230, Slc, UT 84124-3543 2016-08-29
1538522073 Danielle Reasch Counselor 4460 S Highland Dr, Suite 230, Slc, UT 84124-3543 2016-04-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487273298 Shannon Penny Price Social Worker 4465 Maybeck Place, Condo C, Millcreek, UT 84124 2020-04-11
1922654367 Joseph C Melvin Md PC Colon & Rectal Surgery 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 2019-08-12
1366923252 Melanie Stumpf Counselor 1141 E 3900, Suite A170, Salt Lake City, UT 84124 2018-08-28
1376033993 Michelle Flowers Speech-Language Pathologist 2120 East 3900 South, Ste 200, Holladay, UT 84124 2018-05-18
1740797257 Lissa Anne Hutchings Nurse Practitioner 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 2018-01-05
1316465693 Randy Gines Counselor 4460 S Highland Drive # 230, Murray, UT 84124 2017-09-06
1417470717 Joshua Chandler Spencer Counselor 4460 South Highland Dr., 230, Murray, UT 84124 2017-07-19
1659891554 Marcus Whitney Counselor 4460 S Highland Dr. # 230, Murray, UT 84124 2017-06-21
1518496884 Courtney Nilson Counselor 4460 S. Highland Dr. #230, Murray, UT 84124 2017-06-08
1841687126 Intrafilrx Preferred Provider Organization 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 2015-04-23
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942860481 Robin Morgan Nurse Practitioner Lds Hospital 8th Ave & C Street, Slc, UT 84143-0001 2019-06-17
1659520807 Treasure Ashleigh Morgan Nurse Practitioner 1010 E 2100 S, Suite B, Slc, UT 84106-3590 2008-09-11
1952596827 Alisa A Seeberger Nurse Practitioner 1548 E 4500 S Ste 202, Slc, UT 84117-5209 2007-09-12
1992922520 Kathy Marie Parry Nurse Practitioner Slc Va, 500 Foothill Dr, Slc, UT 84148-0001 2007-04-18
1770631079 Linda Young Lewis Nurse Practitioner 100 N Medical Dr Ste 3400, Slc, UT 84113-1103 2007-01-05
1356366181 Julianne Fallentine Nurse Practitioner 855 California Ave, Slc, UT 84104-1632 2006-07-13
1770194979 Kelli Dru Webster Nurse Practitioner 500 Foothill Dr, Slc, UT 84148-0001 2020-08-11
1952929895 Caren D Erekson Nurse Practitioner 4624 S Holladay Blvd Ste 201, Slc, UT 84117-7168 2020-07-07
1124674460 Kimberly Kae Weggemann Holder Nurse Practitioner 3018 E 3300 S, Slc, UT 84109-2144 2019-08-13
1598326084 Nicole Ashley Lynch Nurse Practitioner 615 S Arapeen Dr Ste 100, Slc, UT 84108-1239 2019-06-25
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Competitor

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City SLC
Zip Code 84124

Improve Information

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Dataset Information

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.

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