DR. JAN ELLEN KADERABEK BURTON (NPI# 1578506697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578506697 |
| Entity Type | Individual |
| Full Name | DR. JAN ELLEN KADERABEK BURTON |
| Credential | PH.D. |
| Practice Address |
4190 Highland Dr Salt Lake City UT 84124-2600 |
| Practice Telephone | 8012740403 |
| Mailing Telephone | 8012740403 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1103862501 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | EDUCATORS MUTUAL | 942938348BU1 | 01 |
| UT | INTERMOUNTAIN HEALTH CARE | 107009442101 | 01 |
| UT | DESERET MUTUAL | 261736 | 01 |
| Street Address |
4190 HIGHLAND DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598742231 | Kathleen Stroman King | Psychologist | 4190 Highland Dr, Suite 210, Salt Lake City, UT 84124-2600 | 2005-12-23 |
| 1740562123 | Michael Bryce Warner | Dentist | 4190 Highland Dr, Salt Lake City, UT 84124-2600 | 2011-09-13 |
| 1417270323 | Douglas Burgoyne | Pharmacist | 4190 Highland Dr, Suite 250, Salt Lake City, UT 84124-2600 | 2010-03-05 |
| 1679743009 | Bruce Kenneth Jacobson | Psychologist | 4190 Highland Dr, Suite 211, Salt Lake City, UT 84124-2600 | 2008-02-29 |
| 1467678938 | Grant B. Cannon | Dentist | 4190 Highland Dr, Suite 112, Salt Lake City, UT 84124-2600 | 2007-04-17 |
| 1396873279 | Linda C Gurrister | Social Worker | 4190 Highland Dr, Suite 210, Salt Lake City, UT 84124-2600 | 2007-03-01 |
| 1578605143 | Janice Lynn Marcus | Counselor | 4190 Highland Dr, Salt Lake City, UT 84124-2600 | 2007-02-12 |
| 1548329964 | Jeffrey Ralph Grant | Social Worker | 4190 Highland Dr, Suite 210, Salt Lake City, UT 84124-2600 | 2006-12-08 |
| 1417913575 | Bruce K Jacobson Ph D P C | Clinic/Center | 4190 Highland Dr, Suite 211, Salt Lake City, UT 84124-2600 | 2006-04-26 |
| 1518934744 | Karl E Seashore | Counselor | 4190 Highland Dr, Suite 211, Salt Lake City, UT 84124-2600 | 2006-03-07 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780230433 | Carolynne Elizabeth Baron | Psychologist | Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2019-08-16 |
| 1083133938 | Dio Turner II | Psychologist | 1060 E 100 S Ste 100, Salt Lake City, UT 84102-1582 | 2017-09-12 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1205202355 | Laura Rowley | Psychologist | 170 S 1000 E Ste 201, Salt Lake City, UT 84102-1403 | 2015-08-12 |
| 1275916223 | Amy Bonifay Russell | Psychologist | 2469 E Fort Union Blvd Ste 206, Salt Lake City, UT 84121-3417 | 2015-07-08 |
| 1952710071 | The Pearce Institute of Child and Family Psychology, LLC | Psychologist | 231 E 2100 S, Suite 203, Salt Lake City, UT 84115-2187 | 2014-08-04 |
| 1053728105 | Margaret Ruth Moore | Psychologist | 1726 E Michigan Ave, Salt Lake City, UT 84108-1320 | 2014-07-21 |
| 1316360225 | Amanda Lorraine Rapacz | Psychologist | 239 E Belmont Ave, Salt Lake City, UT 84111-4619 | 2014-01-28 |
| 1134566904 | Allison Marie Smith | Psychologist | 504 E 800 S Apt 1b, Salt Lake City, UT 84102-3361 | 2013-06-03 |
| 1558611970 | New Life Balance, LLC | Psychologist | 2689 S Highland Dr, Salt Lake City, UT 84106-2774 | 2012-09-13 |
| 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 DR. JAN ELLEN KADERABEK BURTON.
| 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.