JENNY ANN PEDERSEN (NPI# 1497912190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497912190 |
| Entity Type | Individual |
| Full Name | JENNY ANN PEDERSEN |
| Credential | M.S. CCC-A |
| Practice Address |
44 N. Mario Capecchi Dr. Salt Lake City UT 84114 |
| Mailing Address |
Po Box 142001 Salt Lake City UT 84114-2001 |
| Practice Telephone | 8015848215 |
| Practice Fax Number | 8015848492 |
| Mailing Telephone | 8015389103 |
| Mailing Fax Number | 8015386591 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2012-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 6968867-4101 | UT | Speech, Language and Hearing Service Providers |
| Street Address |
44 N. MARIO CAPECCHI DR. |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760792840 | Shannon Wnek | Audiologist-Hearing Aid Fitter | 44 N. Mario Capecchi Dr., Salt Lake City, UT 84113 | 2010-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649605601 | Natalie Holt Allen | Nurse Practitioner | 44 N Mario Capecchi Dr., Salt Lake City, UT 84114 | 2013-09-10 |
| 1437252491 | State of Utah, Department of Health | Dentist | Salt Lake Clinic - Family Dental Plan, 3195 South Main Street, Suite 200, Salt Lake City, UT 84114 | 2006-09-06 |
| 1699878942 | State of Utah | Public Health or Welfare | 44 N Mario Cappeci Drive, Salt Lake City, UT 84114 | 2006-09-05 |
| 1952547408 | Maritza Silva Arce-larreta | Nurse Practitioner | 288 N 1460 W, Salt Lake City, UT 84114-2107 | 2009-01-05 |
| 1033581723 | Christopher Lee Fiagle | Counselor | 2100 S State Street, S2-300, Salt Lake City, UT 84114-4575 | 2015-10-21 |
| 1265739551 | Noel Kay Cameron | Counselor | 2001 S. State Suite S1500, Salt Lake County Aging and Adult Services, Salt Lake City, UT 84114-4575 | 2011-02-22 |
| 1225131279 | Blair Lamar Bybee | Pediatrics | 44 N Medial Drive, Utah Department of Health, Salt Lake City, UT 84114-4630 | 2006-09-06 |
| 1730566050 | Katrina Holle Hahn | Speech-Language Pathologist | 44 N. Mario Capecchi Drive, Salt Lake City, UT 84114-4671 | 2015-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013886 | Brc Wellness LLC | Substance Abuse Rehabilitation Facility | 4911 S 900 E Ste B, Salt Lake City, UT 84117-5747 | 2020-11-06 |
| 1437750262 | Nathan Haslam | Counselor | 636 E Roosevelt Ave, Salt Lake City, UT 84105-2121 | 2020-11-06 |
| 1982205829 | Brittany Nicole Beverly | Student in an Organized Health Care Education/Training Program | 236 N Sun Arbor Ter Apt 2111, Salt Lake City, UT 84116-4537 | 2020-11-06 |
| 1013518422 | Ascent Physical Therapy and Wellness | Home Health | 1549 W Haslam Cir, Salt Lake City, UT 84116-1633 | 2020-11-03 |
| 1962003541 | Allison Lee | Counselor | 565 S Post St, Salt Lake City, UT 84104-1346 | 2020-11-02 |
| 1891395422 | Sam Burk Clark | Behavior Technician | 515 S. 700 E, Suite 2a, Salt Lake City, UT 84102-2142 | 2020-11-01 |
| 1982204590 | Gabrielle Sleater Lewis | Nurse Practitioner | 2905 S Mcclelland St, Salt Lake City, UT 84106-2125 | 2020-11-01 |
| 1568062537 | Phillip Smith | Case Management | 230 W 400 S, Salt Lake City, UT 84101-1829 | 2020-10-29 |
| 1245830108 | Chadwick M Smith | Pharmacist | 7494 S 2135 E, Salt Lake City, UT 84121-4970 | 2020-10-29 |
| 1295335404 | Ida Nourbakhsh | Dentist | 1947 E Redondo Ave, Salt Lake City, UT 84108-3119 | 2020-10-27 |
| Find all providers in SALT LAKE CITY | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582719 | Sadie Schilaty | Audiologist | 50 N. Medical Drive, Clinic 9, Salt Lake City, UT 84132-0001 | 2018-06-14 |
| 1255852323 | Fiona Hayes | Audiologist | 1255 E 3900 S Ste 301, Salt Lake City, UT 84124-1417 | 2017-06-29 |
| 1982135984 | University of Utah Adult Services | Audiologist | 417 S Wakara Way, 1112, Salt Lake City, UT 84108-1436 | 2017-03-22 |
| 1285089623 | Karen Steurer | Audiologist | Audiology Clinic 9, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2016-05-03 |
| 1053609370 | Joshua C Luekenga | Audiologist | 1255 E 3900 S Ste 106c, Salt Lake City, UT 84124-1389 | 2011-07-20 |
| 1972806651 | Leanne M. Norman | Audiologist | 6165 W Pine Valley Ln, Salt Lake City, UT 84118-9340 | 2010-12-17 |
| 1508177635 | Tad S. Bergen | Audiologist | 370 E South Temple Ste 150, Salt Lake City, UT 84111-1279 | 2010-06-23 |
| 1528214087 | Mary Lou Reitz | Audiologist | 560 D St, Salt Lake City, UT 84103-2808 | 2008-08-14 |
| 1427223668 | John Ralph Pater | Audiologist | 2964 W 4700 S, Salt Lake City, UT 84129-2557 | 2008-04-29 |
| 1093907693 | Rocky Mountain Hearing & Balance | Audiologist | 5872 S 900 E Ste 175, Salt Lake City, UT 84121 | 2007-08-16 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84114 |
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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.