TYLER ETHERIDGE (NPI# 1518595958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518595958 |
| Entity Type | Individual |
| Full Name | TYLER ETHERIDGE |
| Credential | MD |
| Practice Address |
515 E 100 S Ste 200 Salt Lake City UT 84102-2095 |
| Practice Telephone | 8015812401 |
| Mailing Telephone | 8015812401 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
515 E 100 S STE 200 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-2095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942642541 | Elizabeth Quigley | Pediatrics | 515 E 100 S Ste 200, Salt Lake City, UT 84102-2095 | 2013-07-23 |
| 1144827635 | Jawad Almajed | Student in an Organized Health Care Education/Training Program | 515 E 100 S Ste 200, Salt Lake City, UT 84102-2095 | 2020-10-07 |
| 1699392738 | Davide Marco Croci | Student in an Organized Health Care Education/Training Program | 515 E 100 S Ste 200, Salt Lake City, UT 84102-2095 | 2020-07-05 |
| 1083243794 | Ashley Brienza | Student in an Organized Health Care Education/Training Program | 515 E 100 S Ste 200, Salt Lake City, UT 84102-2095 | 2020-04-04 |
| 1881223931 | Vanina Lorena Taliercio | Student in an Organized Health Care Education/Training Program | 515 E 100 S Ste 200, Salt Lake City, UT 84102-2095 | 2020-04-02 |
| 1841828910 | Allison Mcclain | Student in an Organized Health Care Education/Training Program | 515 E 100 S Ste 200, Salt Lake City, UT 84102-2095 | 2020-04-01 |
| 1023646635 | Charles Cubberley | Student in an Organized Health Care Education/Training Program | 515 E 100 S Ste 200, Salt Lake City, UT 84102-2095 | 2020-03-30 |
| 1922636620 | Troy Patrick Hatfield | Student in an Organized Health Care Education/Training Program | 515 E 100 S Ste 200, Salt Lake City, UT 84102-2095 | 2020-03-29 |
| 1003444035 | David Haak | Student in an Organized Health Care Education/Training Program | 515 E 100 S Ste 200, Salt Lake City, UT 84102-2095 | 2020-03-27 |
| 1588291751 | Laurel Denise Ormiston | Student in an Organized Health Care Education/Training Program | 515 E 100 S Ste 200, Salt Lake City, UT 84102-2095 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1669090502 | Kelly Maree Gutpell | Student in an Organized Health Care Education/Training Program | 81 N Mario Capecchi Dr Ste 1a.011, Salt Lake City, UT 84113-1125 | 2020-07-07 |
| 1134744014 | Scarlet Reyes | Student in an Organized Health Care Education/Training Program | 25 S 1100 E Apt 14, Salt Lake City, UT 84102-1514 | 2020-06-16 |
| 1215553151 | Andrew Winn Bringhurst | Student in an Organized Health Care Education/Training Program | 1737 E Imperial Park Sq, Salt Lake City, UT 84106-5104 | 2020-06-16 |
| 1134744287 | Jillian G Barker | Student in an Organized Health Care Education/Training Program | 1345 S 400 E, Salt Lake City, UT 84115-1548 | 2020-06-15 |
| 1114542255 | Gustavo Carrillo | Student in an Organized Health Care Education/Training Program | 1652 W 800 S, Salt Lake City, UT 84104-3112 | 2020-06-15 |
| 1982229035 | Cristhian V. Toruno | Student in an Organized Health Care Education/Training Program | 448 N 1100 W, Salt Lake City, UT 84116-2649 | 2020-06-15 |
| 1144845108 | Huong T Pham | Student in an Organized Health Care Education/Training Program | 319 E Beldon Pl, Salt Lake City, UT 84111-3516 | 2020-06-15 |
| 1790300754 | Krista Huffaker | Student in an Organized Health Care Education/Training Program | 1212 E 500 S # 2, Salt Lake City, UT 84102-3223 | 2020-06-15 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on TYLER ETHERIDGE.
| 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.