JENNIFER E. UTTER (NPI# 1316149974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316149974 |
| Entity Type | Individual |
| Full Name | JENNIFER E. UTTER |
| Credential | PA-C |
| Practice Address |
16700 177th Ave Se Monroe WA 98272-9141 |
| Mailing Address |
1286 Mount Baker Rd Ste B102 Eastsound WA 98245-8931 |
| Practice Telephone | 3607942827 |
| Practice Fax Number | 3607942741 |
| Mailing Telephone | 3603767778 |
| Mailing Fax Number | 3603767706 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2016-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10003279 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEA REGISTRATION | MU 0718114 | 01 |
| WA | CERTIFIED PHYSICIAN ASSIS | PA100003279 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134653868 | Jennifer Utter | Registered Nurse | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2017-04-19 |
| Street Address |
16700 177TH AVE SE |
| City | MONROE |
| State | WA |
| Zip Code | 98272-9141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261129 | Troy Allen Henley | Registered Nurse | 16700 177th Ave Se, Monroe, WA 98272-9141 | 2020-09-27 |
| 1346760030 | Jennifer Denise Ross | Physician Assistant | 16700 177th Ave Se, Monroe, WA 98272-9141 | 2017-06-22 |
| 1760797807 | Valerie M Weber | Dentist | 16700 177th Ave Se, Monroe, WA 98272-9141 | 2010-08-13 |
| 1548575046 | William Rodney Boyington | Dentist | 16700 177th Ave Se, Monroe, WA 98272-9141 | 2010-08-10 |
| 1699936716 | Roberta Fern Kanive | Nurse Practitioner | 16700 177th Ave Se, Monroe, WA 98272-9141 | 2008-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841560034 | Courtney M Hernandez | Physician Assistant | 3130 Mercedes Dr, Monroe, LA 71201-5154 | 2012-01-05 |
| 1821260118 | Patrick Eugene Barnes | Physician Assistant | 16550 177ave Se, Monroe, WA 98272-0777 | 2008-03-27 |
| 1528126588 | Leigh Anna Cordill | Physician Assistant | 4 Bancroft Cir, Monroe, LA 71201-5101 | 2006-12-04 |
| 1780799692 | Stefanie Ellen Beck | Physician Assistant | 730 N Macomb, Ste 429, Monroe, MI 48162 | 2006-08-20 |
| 1558319848 | Michele M. Gruenenfelder | Physician Assistant | 515 22nd Ave., Monroe, WI 53566-1569 | 2006-05-05 |
| 1700842796 | Toledo Clinic Inc | Physician Assistant | 730 N Macomb Street, #418, Monroe, MI 48162 | 2006-04-26 |
| 1497729230 | Hugh Avery Wheeler | Physician Assistant | 1301 Dove St, Monroe, NC 28112-5012 | 2006-02-16 |
| 1982699872 | Michelle L Plumb | Physician Assistant | 2917 E Country Ln, Monroe, MI 48162-8927 | 2005-09-16 |
| 1184274185 | Erin N Cantu | Physician Assistant | 2804 Forsythe Ave, Monroe, LA 71201 | 2019-09-12 |
| 1194295519 | Fatimah Zaghari | Physician Assistant | 600 Hospital Dr, Monroe, NC 28112-6000 | 2018-11-28 |
| Find all providers in MONROE | ||||
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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.