DR. SARA MARIE ELLIS SIMONSEN (NPI# 1336604610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336604610 |
| Entity Type | Individual |
| Full Name | DR. SARA MARIE ELLIS SIMONSEN |
| Credential | CNM, MSPH, PHD |
| Practice Address |
650 Round Valley Dr Park City UT 84060-7571 |
| Mailing Address |
10 S 2000 E Rm 410 Salt Lake City UT 84112-5880 |
| Practice Telephone | 4353331500 |
| Mailing Telephone | 8015859360 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 5037536-4402 | UT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | CNM LICENSE | 5037536-4402 | 01 |
| Street Address |
650 ROUND VALLEY DR |
| City | PARK CITY |
| State | UT |
| Zip Code | 84060-7571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841710654 | Rachelle Flinn | Physician Assistant | 650 Round Valley Dr, Park City, UT 84060-7571 | 2017-06-22 |
| 1053965509 | Beth Silvero | Nurse Practitioner | 650 Round Valley Dr, Park City, UT 84060 | 2019-08-01 |
| 1932687928 | Bryanna Monkurai | Pharmacist | 650 Round Valley Dr, Park City, UT 84060-7571 | 2018-08-01 |
| 1770088353 | Shelley Worley | Health Educator | 650 Round Valley Dr, Park City, UT 84060-7571 | 2018-03-27 |
| 1538664248 | Sarene Brooks | Dietitian, Registered | 650 Round Valley Dr, Park City, UT 84060-7571 | 2018-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233920 | Livecare, Inc. | Nursing Care | 1830 Prospector Avenue, Park City, UT 84060 | 2020-04-02 |
| 1063904266 | Louise Knetzger Gallagher | Acupuncturist | 1107 Woodside Ave, Park City, UT 84060 | 2018-06-04 |
| 1942753421 | Valerie Alison Mey | Dietitian, Registered | 2985 Arabian Dr, Park City, UT 84060 | 2016-08-01 |
| 1659720936 | Vibrant Health PC | Anesthesiology | 1910 Prospector Ave Suite 302, Park City, UT 84060 | 2016-06-08 |
| 1538538657 | Pamela Hilbert | Dentist | 1830 Prospector Ave., Park City, UT 84060 | 2015-09-18 |
| 1174904924 | Julie Anna Bullen | Counselor | 2300 Monitor Drive, Park City, UT 84060 | 2015-06-17 |
| 1265825319 | William Gary Smith | Obstetrics & Gynecology | 2501 Creek Drive, Park City, UT 84060 | 2015-03-13 |
| 1497026330 | Earl Warren Stadler Jr. | Physical Medicine & Rehabilitation | 1500 Three Kings Drive Unit 31, Park City, UT 84060 | 2012-01-24 |
| 1538454541 | Belinda Duncan | Pharmacist | 2700 E Deer Valley Dr B105, Park City, UT 84060 | 2011-06-17 |
| 1184888315 | Cody Michael Calderwood | Dentist | 1600 Snow Creek Dr Ste A, Park City, UT 84060 | 2008-07-16 |
| Find all providers in zip 84060 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760002315 | Nat Romine | Midwife | 2080 Gold Dust Ln, Park City, UT 84060-7294 | 2020-04-23 |
| 1265447940 | Danielle M Demeter | Midwife | 1600 Snow Creek Dr, Park City, UT 84060-7372 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707684 | Rachel Twelmeyer | Midwife | 330 E 2200 N, Provo, UT 84604-5847 | 2020-10-14 |
| 1902420300 | Eric Merrill | Midwife | 274 N Foxboro Dr, North Salt Lake, UT 84054-6006 | 2020-06-01 |
| 1740809714 | Lisa K Ellingford | Midwife | 1320 E Sr 119, Richfield, UT 84701-9407 | 2020-04-10 |
| 1477180396 | Holly Joy Richardson | Midwife | 882 W 2800 N, Pleasant Grove, UT 84062-8027 | 2020-03-23 |
| 1548890890 | Amber Heather Adams | Midwife | 4863 W South Jordan Pkwy, South Jordan, UT 84009-5940 | 2020-01-24 |
| 1437702172 | Carlie Kay Naval | Midwife | 645 W Fern Dr, Midvale, UT 84047-7254 | 2019-07-22 |
| 1811554587 | Anna Christine Gilmore | Midwife | 545 N 800 E, Orem, UT 84097-4253 | 2019-05-28 |
| 1457818379 | Seasons Warner | Midwife | 448 W 600 S, Payson, UT 84651-2707 | 2019-02-27 |
| 1386118255 | Annette Ranae Himes | Midwife | 1756 W Antelope Dr Bsmt, Layton, UT 84041-1143 | 2019-01-14 |
| 1073082269 | Christine E Larson | Midwife | 85 M St, Salt Lake City, UT 84103-3850 | 2018-11-16 |
| Find all providers with the same taxonomy | ||||
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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.