PHYLLIS A ASELTINE (NPI# 1376545251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376545251 |
Entity Type | Individual |
Full Name | PHYLLIS A ASELTINE |
Credential | FNP |
Practice Address |
650 E 4500 S Salt Lake City UT 84107-2900 |
Practice Telephone | 8012882634 |
Practice Fax Number | 8012881186 |
Mailing Telephone | 8012882634 |
Mailing Fax Number | 8012881186 |
Enumeration Date | 2005-08-11 |
Last Update Date | 2016-11-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1835254405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
650 E 4500 S |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84107-2900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023015260 | James B Stinson | Specialist | 650 E 4500 S, Salt Lake City, UT 84107-2900 | 2005-07-01 |
1760918759 | Procare Hospice of Utah, LLC | Hospice Care, Community Based | 650 E 4500 S, Suite 350, Salt Lake City, UT 84107-2900 | 2017-05-11 |
1427502624 | Andrea Robison | Counselor | 650 E 4500 S, Salt Lake City, UT 84107-2900 | 2016-08-05 |
1073962601 | Charles Johnson | Counselor | 650 E 4500 S, #300, Salt Lake City, UT 84107-2900 | 2016-06-04 |
1073961579 | Camile Nielson | Social Worker | 650 E 4500 S, Salt Lake City, UT 84107-2900 | 2016-05-25 |
1164715124 | Minerva Abeleda Dantis-tan | Nurse Practitioner | 650 E 4500 S, Ste 210, Salt Lake City, UT 84107-4520 | 2011-05-24 |
1912168345 | Landon Dickson | Internal Medicine | 650 E 4500 S, Ste. 210, Salt Lake City, UT 84107-2900 | 2008-06-18 |
1649452772 | Ruth Merry Indahyung | Internal Medicine | 650 E 4500 S, Suite 210, Salt Lake City, UT 84107-2900 | 2007-11-30 |
1992991921 | Sanjiv Anand | Internal Medicine | 650 E 4500 S, Suite 201, Salt Lake City, UT 84107-2900 | 2007-09-24 |
1477609089 | Rebecca Herold Moore | Internal Medicine | 650 E 4500 S, Salt Lake City, UT 84107-2900 | 2007-01-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
Find all providers in zip 84107 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033319371 | Tek Hobert Kilgore Jr. | Nurse Practitioner | 555 Foothill Drive, Studen Health Center, Salt Lake City, UT 84112 | 2007-07-24 |
1699896779 | Trina Darlene West | Nurse Practitioner | 3118 E 3300 S, Salt Lake City, UT 84109 | 2007-04-03 |
1053330530 | Charles Ruebelmann | Nurse Practitioner | Veterans Administration Medical Cente500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-07-18 |
1083108872 | Matthew Thomas Anderson | Nurse Practitioner | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2018-06-15 |
1811441082 | Catherine Coates | Nurse Practitioner | 4624 S Holladay Blvd Ste 100, Salt Lake City, UT 84117-7056 | 2016-08-05 |
1730571126 | Julie Lynn Roberts | Nurse Practitioner | 389 S 900 E, Salt Lake Clinic, Salt Lake City, UT 84102-2310 | 2015-02-23 |
1295709848 | Brian Wendell Westfield | Nurse Practitioner | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2006-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235742016 | Luz Elena Reni | Nurse Practitioner | 593 Millcreek Way, Bountiful, UT 84010-3920 | 2020-08-31 |
1841803137 | Anywhere Care | Nurse Practitioner | 9980 S. 300 W. Suite 200, Sandy, UT 84070 | 2020-08-26 |
1356952840 | Sandra Robles | Nurse Practitioner | 6671 S Redwood Rd Ste 101, West Jordan, UT 84084-7489 | 2020-08-10 |
1265050660 | Dana Michelle Roach | Nurse Practitioner | 3435 E Pony Express Pkwy Ste 104, Eagle Mountain, UT 84005-5515 | 2020-07-12 |
1174141964 | Kaitlyn Miller Albrecht | Nurse Practitioner | 14094 S Candy Pull Dr, Draper, UT 84020-7511 | 2020-07-08 |
1700403540 | Brady Ardell Byington | Nurse Practitioner | 6654 Willow Creek Rd, Mountain Green, UT 84050-6810 | 2020-06-27 |
1528697950 | Meagan Mckean | Nurse Practitioner | 2486 E Newport Cir, Cottonwood Heights, UT 84121-5642 | 2020-04-07 |
1104487677 | Brandilyn Rolfe | Nurse Practitioner | 2629 Cottage Ct, Park City, UT 84098-8226 | 2019-06-25 |
1447819974 | Andrew Brice Heinecke | Nurse Practitioner | 6807 S 3200 W, West Jordan, UT 84084-1828 | 2019-06-09 |
1467977884 | Eden Family Care and Medical Aesthetics | Nurse Practitioner | 2612 N Highway 162, Eden, UT 84310-9745 | 2017-08-07 |
Find all providers with the same taxonomy |
City | SALT LAKE CITY |
Zip Code | 84107 |
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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.