HEIDI FAVERO (NPI# 1538576673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538576673 |
Entity Type | Individual |
Full Name | HEIDI FAVERO |
Credential | N.P. |
Practice Address |
1160 E 3900 S Ste 3500 Salt Lake City UT 84124-1202 |
Practice Telephone | 8017434750 |
Practice Fax Number | 8017434765 |
Mailing Telephone | 8017434750 |
Mailing Fax Number | 8017434765 |
Enumeration Date | 2014-07-21 |
Last Update Date | 2014-08-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
354334-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1160 E 3900 S STE 3500 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84124-1202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164414017 | Edward W Ganellen | Internal Medicine | 1160 E 3900 S, Suite 2000, Salt Lake City, UT 84124-1202 | 2005-08-17 |
1962853432 | Nicholas J. Paulk Md, PC | Surgery | 1160 E 3900 S, Ste 4100, Salt Lake City, UT 84124-1202 | 2016-06-27 |
1174988489 | Michael Pulley | Physician Assistant | 1160 E 3900 S, Siuite 5000, Salt Lake City, UT 84124-1202 | 2015-12-31 |
1972972883 | Aaron Adams | Nurse Practitioner | 1160 E 3900 S, Ste 2000, Salt Lake City, UT 84124-1236 | 2015-09-21 |
1578962700 | Marc Waters | Physician Assistant | 1160 E 3900 S, Suite 5000, Salt Lake City, UT 84124-1202 | 2014-08-13 |
1255744017 | Tyler Williamson | Physician Assistant | 1160 E 3900 S, Suite 5000, Salt Lake City, UT 84124-1202 | 2014-06-09 |
1922342732 | St. Mark's Physician Billing, LLC | Clinic/Center | 1160 E 3900 S, Ste G200, Salt Lake City, UT 84124-1202 | 2012-11-16 |
1043561517 | Ashley Majoskey | Physician Assistant | 1160 E 3900 S, Ste 2000, Salt Lake City, UT 84124-1202 | 2012-09-25 |
1437446168 | Mountainstar Cardiology St Marks LLC | Internal Medicine | 1160 E 3900 S, Ste. 2000, Salt Lake City, UT 84124-1202 | 2011-07-01 |
1427372515 | Joanna Erzinger | Psychiatry & Neurology | 1160 E 3900 S, Suite 4100, Salt Lake City, UT 84124-1202 | 2010-03-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
Find all providers in zip 84124 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194353268 | Kassandra Olson | Nurse Practitioner | 3151 E 3900 S, Salt Lake City, UT 84124-2143 | 2020-04-01 |
1609426659 | Loriann Stromness | Nurse Practitioner | 5121 S Cottonwood St Ste 700, Salt Lake City, UT 84107-5701 | 2019-09-11 |
1447802418 | Amanda Nichole Eckersley | Nurse Practitioner | 8th Avenue C Street, Salt Lake City, UT 84143-0001 | 2019-07-10 |
1750858643 | Kristen Elena Gooch | Nurse Practitioner | 36 S State St Ste 2100, Salt Lake City, UT 84111-1472 | 2018-10-29 |
1659853992 | Jessica Singer | Nurse Practitioner | 762 E Browning Ave, Salt Lake City, UT 84105-2209 | 2018-09-04 |
1184147175 | Suzanne Milne | Nurse Practitioner | Lds Hospital 8th Avenue and C St Fl 8, Salt Lake City, UT 84143-0001 | 2017-07-20 |
1366964728 | Matthew Wayne Jarvis | Nurse Practitioner | 1250 E 3900 S Ste 30, Salt Lake City, UT 84124-1354 | 2017-07-07 |
1841749256 | Ashle Mayme Crane | Nurse Practitioner | 4435 S Loren Von Dr, Salt Lake City, UT 84124-3839 | 2016-09-26 |
1417405044 | Brett Lavar Carroll | Nurse Practitioner | 8 Th Ave & C Street E8, Salt Lake City, UT 84143-0001 | 2016-09-12 |
1487042537 | Adult Care Clinic Inc | Nurse Practitioner | 3920 S 1100 E Ste 250, Salt Lake City, UT 84124-1213 | 2014-12-23 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84124 |
Please comment or provide details below to improve the information on HEIDI FAVERO.
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.