ABBIE LYN SIEBENHAAR


Address: 6360 S 3000 E, Ste 310, Salt Lake City, UT 84121-6923
Phone: 8019443199

ABBIE LYN SIEBENHAAR (NPI# 1295003234) 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) 1295003234
Entity Type Individual
Full Name ABBIE LYN SIEBENHAAR
Credential PAC
Practice Address 6360 S 3000 E
Ste 310
Salt Lake City
UT 84121-6923
Mailing Address 6360 S 3000 E
Ste 220
Salt Lake City
UT 84121-6923
Practice Telephone 8019443199
Practice Fax Number 8019443180
Mailing Telephone 8019443199
Mailing Fax Number 8019443180
Enumeration Date 2011-12-05
Last Update Date 2015-10-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 9505091-1206 UT Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
9505091-1206 UT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ AZ LIC 5059 01
UT UT LICENSE 9505091-1206 01

Office Location

Street Address 6360 S 3000 E
STE 310
City SALT LAKE CITY
State UT
Zip Code 84121-6923

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801340823 Lorna Baer Nurse Practitioner 6360 S 3000 E, Suite 220, Salt Lake City, UT 84121-6923 2016-08-08
1417312604 Shannon Michelle Montague Nurse Practitioner 6360 S 3000 E, 210, Salt Lake City, UT 84121-6923 2015-12-15
1821468109 Davidson Orthopedics LLC Orthopaedic Surgery 6360 S 3000 E, Suite 200, Salt Lake City, UT 84121-6923 2015-09-30
1760859300 Christopher Matich Physician Assistant 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 2015-08-31
1851777353 Utah Orthopedic, Spine & Injury Center Orthopaedic Surgery 6360 S 3000 E, Salt Lake City, UT 84121-6923 2015-08-06
1194119149 Emily Bloomquist Physician Assistant 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 2015-03-26
1982007530 Rebecca Thatcher Physician Assistant 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 2014-09-26
1427463439 Anesthesia Associates of Utah LLC Nurse Anesthetist, Certified Registered 6360 S 3000 E, Suite 320, Salt Lake City, UT 84121-6923 2014-06-27
1043659055 Benjamin Arthur Thomas Podiatrist 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 2013-06-24
1831450113 Physical Therapy and Sports Physical Therapist 6360 S 3000 E, Suite 210, Salt Lake City, UT 84121-6923 2012-06-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407483522 Kaitlyn Horne Behavior Technician 6910 S. Highland Drive, Cottonwood Heights, UT 84121 2020-03-26
1952936387 Jared Wells Behavior Technician 6910 S Highland Drive, Cottonwood Heights, UT 84121 2020-03-05
1518591874 Slc Plastic Surgery LLC Plastic Surgery 6686 Highland Drive, Cottonwood Heights, UT 84121 2020-02-26
1093273708 Anna O'hearon Counselor New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 2019-03-12
1053883181 Charles Keller IIi Pediatrics 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 2018-12-31
1669964516 Marissa King Specialist 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 2018-06-05
1376044313 Slpd Cottonwood LLC Dentist 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 2018-02-26
1700315462 Nelson & Tillmann Family Dentistry, PC Dentist 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 2017-06-07
1912430588 Wasatch Midwifery and Wellness, LLC Dietitian, Registered 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 2017-04-10
1407308331 Tina Polgar Registered Nurse 6244 Highland Drive, Murray, UT 84121 2016-10-26
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134748080 Shannon Dhungel Physician Assistant 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 2020-04-10
1528533825 Ryan Mclean Walsh Physician Assistant 1454 University Vlg, Salt Lake City, UT 84108-3518 2018-10-12
1033627351 Linda Richards Lewis Physician Assistant 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 2018-01-22
1972036242 Jace Meng Physician Assistant 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 2017-04-04
1710372784 Sarah Beth Wills Physician Assistant 500 Foot Drive, Salt Lake City, UT 84148-4004 2015-04-06
1821323742 Sara Diane Feltz Physician Assistant 615 Arapeen Drive, Suite 100, Salt Lake City, UT 84108 2009-10-09
1457597809 Wesley Messer Norwood Physician Assistant 150 S 1000 E Ste 200, Salt Lake City, UT 84102-1496 2009-01-06
1235146937 Kara Alexander-agresta Physician Assistant 3838 S 700 E Utah Cancer Specialist-cancer Ctr, Suite 100, Salt Lake City, UT 84106 2006-08-02
1669459301 Steven Eugene Nickman Physician Assistant 8th Avenue & C Street, Lds Hospital E8/ibmt Program, Salt Lake City, UT 84143 2005-12-23
1912515230 Lesly Pineda Physician Assistant 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 2020-07-22
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Competitor

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City SALT LAKE CITY
Zip Code 84121

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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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