PERRINE JOHNSON ANDERSON (NPI# 1447222849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447222849 |
| Entity Type | Individual |
| Full Name | PERRINE JOHNSON ANDERSON |
| Credential | APRN |
| Practice Address |
2773 Etienne Way Sandy UT 84093-1116 |
| Mailing Address |
Po Box 307 Bountiful UT 84011-0307 |
| Practice Telephone | 8012731085 |
| Practice Fax Number | 8012734097 |
| Mailing Telephone | 8887006907 |
| Mailing Fax Number | 8012946917 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2105664405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | INTERMOUNTAIN HEALTH CARE | 107029320101 | 01 |
| UT | DESERET MUTUAL | 652558 | 01 |
| UT | EDUCATORS MUTUAL | 942938348PA4 | 01 |
| Street Address |
2773 ETIENNE WAY |
| City | SANDY |
| State | UT |
| Zip Code | 84093-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326267972 | Janis M Pope | Registered Nurse | 2773 Etienne Way, Sandy, UT 84093-1116 | 2007-04-24 |
| 1457570095 | Debbie Marie Quick | Registered Nurse | 2773 Etienne Way, Sandy, UT 84093-1116 | 2007-04-24 |
| 1932285418 | Charles Steven Fehlauer | Family Medicine | 2773 Etienne Way, Sandy, UT 84093-1116 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830674 | Maren Vanwagoner Ferre | Nurse Practitioner | 1455 E Quail Stream Ln, Cottonwood Heights, UT 84093 | 2020-01-22 |
| 1154820041 | Cassandra Bringhurst | Music Therapist | 8261 S Viscounti Dr., Sandy, UT 84093 | 2018-02-06 |
| 1518480540 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8645 S Highland Dr, Sandy, UT 84093 | 2017-07-21 |
| 1457881955 | Valor Psychological Services, LLC | Psychologist | 8160 S Highland Dr Ste C104, Sandy, UT 84093 | 2017-06-16 |
| 1700279197 | Russell G. Lewis | Dentist | 1434 E. 9400 S. Ste 201, Sandy, UT 84093 | 2015-03-10 |
| 1568771350 | Susan Lynn Nikola | Pharmacist | 8745 S. Highland Dr, Sandy, UT 84093 | 2010-09-28 |
| 1659696227 | Pamela Elizabeth Boyleston | Nurse Anesthetist, Certified Registered | 2628 Partridge Way, Sandy, UT 84093 | 2010-04-07 |
| 1700025582 | Kirk Madson Neuberger | Surgery | 9181 Wedgefield Dr., Sandy, UT 84093 | 2009-02-18 |
| 1326230392 | Sunrie Sandy Senior Living LLC | Assisted Living Facility | 2101 E 9400 S, Sandy, TN 84093 | 2007-08-14 |
| 1497870588 | Chandra Lee Roberson | Counselor | 8188 So. Highland Drive, Suite D-4, Sandy, UT 84093 | 2007-03-20 |
| Find all providers in zip 84093 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902850 | Ivora, Inc. | Nurse Practitioner | 13894 S Bangerter Pkwy Ste 200, Draper, UT 84020-5320 | 2020-11-06 |
| 1104398361 | Lisa Ann Ostrander | Nurse Practitioner | 1385 W 2200 S, Taylorsville, UT 84119-7205 | 2018-12-27 |
| 1336698091 | Marie Jo Borres | Nurse Practitioner | 2211 W 5100 S, Roy, UT 84067-3422 | 2016-09-22 |
| 1013212802 | Your Home Clinic Company | Nurse Practitioner | 1032 Learned Ave, Salt Lake City, UT 84116-3302 | 2011-01-25 |
| 1558484808 | Cynthia Ann Newby | Nurse Practitioner | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2007-04-09 |
| 1487761615 | Trenaisa Nay Consulting, LLC | Nurse Practitioner | 10171 Delsey Cv, South Jordan, UT 84095-7108 | 2006-08-24 |
| 1073533188 | Sandra Louise Mcnicoll | Nurse Practitioner | 5801 Fashion Blvd Ste 175, Murray, UT 84107-8115 | 2006-07-20 |
| 1083610869 | Caregiver Support Network, Inc | Nurse Practitioner | 310 E 4500 S, Ste 200, Murray, UT 84107-3993 | 2005-06-25 |
| 1194345603 | Kaitlyn Hayes Pelletier | Nurse Practitioner | 2000 Circle of Hope Dr # 1950, Salt Lake City, UT 84112-5550 | 2020-04-24 |
| 1588215750 | Kimberly Rashelle Weir | Nurse Practitioner | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2019-09-27 |
| 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.