MS. JENNI-LYN ELIZABETH LADUTKO


Address: 500 Foothill Dr, Salt Lake City, UT 84148-0001
Phone: 8015821565

MS. JENNI-LYN ELIZABETH LADUTKO (NPI# 1528436714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528436714
Entity Type Individual
Full Name MS. JENNI-LYN ELIZABETH LADUTKO
Credential PHARM.D.
Practice Address 500 Foothill Dr
Salt Lake City
UT 84148-0001
Practice Telephone 8015821565
Enumeration Date 2015-09-04
Last Update Date 2015-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH236151 MA Pharmacy Service Providers

Office Location

Street Address 500 FOOTHILL DR
City SALT LAKE CITY
State UT
Zip Code 84148-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700889011 Anthony W Middleton Jr. Specialist 500 Foothill Dr, Surgery (urology), Salt Lake City, UT 84148-0001 2005-05-31
1376150953 Annette Sprankle Pharmacist 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-09-28
1912512559 Taylor Nicole Schweitzer Speech-Language Pathologist 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-09-10
1134733421 Cord Speck Nurse Practitioner 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-09-03
1023621232 Thomas Alan Good Lance White Bull Pharmacy Technician 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-26
1376155606 Cassie Dance Psychologist 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-18
1255943734 Julia Ann Packard Registered Nurse 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-17
1558972729 Kathleen Sarette Nurse Practitioner 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-12
1154931723 Peter Jerome Torcivia Student in an Organized Health Care Education/Training Program 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-07
1184234262 Rebecca E Montgomery Student in an Organized Health Care Education/Training Program 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598211799 Jacquelyn Rae Contant Dietitian, Registered 500 Foothill Dr. (120), Salt Lake City, UT 84148 2016-08-28
1699127811 Taylor Alford Pharmacist 500 Foothills Drive, Salt Lake City, UT 84148 2016-07-12
1356792162 Sarah Hummel Genetic Counselor, MS 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 2016-06-23
1174936140 Elizabeth Shade Cardenas Nurse Practitioner 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 2014-06-08
1386904043 David Earl Moore Specialist 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 2012-05-29
1790059038 Deborah Ernstein Holley Hartzfeld Genetic Counselor, MS 615 Arapeen Drive #212, Salt Lake City, UT 84148 2012-03-05
1073823720 Diana Lynn Robbins Social Worker 9140 W. Post Road, Las Vegas, NV 84148 2010-10-15
1659534394 Katherine Margaret Dunn Genetic Counselor, MS 500 Foothill Drive (151z), Salt Lake City, UT 84148 2008-07-02
1730381625 Douglas James Ball Medical Genetics Va Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148 2007-06-03
1245339530 Daniel H Priestly Radiology 500 Foothill Dr., Salt Lake City, UT 84148 2006-09-22
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861092249 William Albert Jones Pharmacist 6173 S Haven Moor Cir, Salt Lake City, UT 84121-6525 2020-10-27
1639795198 Jennifer Babin Pharmacist 30 S 2000 E Rm 4779, Salt Lake City, UT 84112-5820 2020-06-21
1225571482 Mohamed Sallout Pharmacist Va Salt Lake City Mail Code 110 Poc, 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2016-11-21
1720410624 Brianne Marie Wolfe Pharmacist 2641 E Stringham Ave Apt 301c, Salt Lake City, UT 84109-3984 2013-08-01
1477789022 Angela Kristine Flint Pharmacist George E Wahlen Veterans Affiars Medical Ctr, 500 Foothill Drive - 119, Salt Lake City, UT 84148-0001 2009-06-09
1902407240 David Andrew Feolo Pharmacist 845 E 4500 S, Salt Lake City, UT 84107-3049 2020-11-03
1376150953 Annette Sprankle Pharmacist 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-09-28
1922611961 Joseph Eli Bergen Pharmacist 555 Foothill Dr, Salt Lake City, UT 84112-1106 2020-08-28
1790305795 Reham Simon Khoury Pharmacist 922 E 2100 S, Salt Lake City, UT 84106-2364 2020-04-20
1851942080 Claire Jean Benvegu Pharmacist 455 S 500 E, Salt Lake City, UT 84102-2753 2019-09-29
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Competitor

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City SALT LAKE CITY
Zip Code 84148

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Dataset Information

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.

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