JENNIFER LYNN MALONE (NPI# 1578784047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578784047 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN MALONE |
| Credential | PA-C |
| Practice Address |
461 S 400 E Salt Lake City UT 84111-3302 |
| Mailing Address |
167 S 1200 E Salt Lake City UT 84102-1654 |
| Practice Telephone | 8015398617 |
| Practice Fax Number | 8015377238 |
| Mailing Telephone | 8018843012 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 63054381206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992357339 | Jennifer E Malone | Counselor | 1328 Williamsburg Rd, Flint, MI 48507-5628 | 2019-07-16 |
| 1841852720 | Jennifer Malone | Physical Therapist | 127 Cambridge St, Burlington, MA 01803-3773 | 2019-07-01 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1992979975 | Jennifer Malone | Physical Therapist | 4400 S Western Ave, Oklahoma City, OK 73109-3414 | 2008-04-21 |
| 1609946045 | Jennifer L Malone | Speech-Language Pathologist | 4160 Il Route 83, Suite 101, Long Grove, IL 60047-5083 | 2006-11-09 |
| 1790285955 | Jennifer Jean Malone | Behavioral Analyst | 835 Bloomfield Ave, Windsor, CT 06095-2363 | 2018-02-14 |
| 1245604750 | Jennifer Kay Malone | Registered Nurse | 429 Manor Dr, Suite 10, Ebensburg, PA 15931-4917 | 2015-11-20 |
| 1992192306 | Jennifer Malone | Social Worker | 700 Brooksedge Blvd, Westerville, OH 43081-2820 | 2015-04-23 |
| 1225443070 | Jennifer Kyra Kobayashi Malone | Student in an Organized Health Care Education/Training Program | 11240 Waples Mill Rd, Suite 202, Fairfax, VA 22030-6078 | 2014-06-30 |
| 1629483045 | Jennifer Malone | Marriage & Family Therapist | 150 Nellen Ave Ste 100, Corte Madera, CA 94925-1197 | 2014-06-24 |
| Street Address |
461 S 400 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144620691 | Jessica Nicole Christensen | Physician Assistant | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2014-09-02 |
| 1720341837 | Jose Luis Esparza | Nurse Practitioner | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2012-06-22 |
| 1912215476 | Kyle Brandt Daley | Physician Assistant | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2010-09-18 |
| 1164672549 | Christian Paul Hyer | Physician Assistant | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2008-09-23 |
| 1447448865 | Diane Elizabeth Ellis | Obstetrics & Gynecology | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2007-10-10 |
| 1821219379 | Andrew William Garrison | Family Medicine | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2007-05-01 |
| 1144326208 | Community Health Centers Inc. | Dentist | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2006-09-16 |
| 1851496616 | Carole Hannah Stipelman | Pediatrics | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2006-09-14 |
| 1548247307 | Peter J. Hasby | Family Medicine | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2005-12-22 |
| 1568449379 | David Keith Turok | Obstetrics & Gynecology | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556986 | Brittany Tran | Physician Assistant | 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 | 2020-10-25 |
| 1528674975 | James Christopher Nichols | Physician Assistant | 1746 E 2100 S, Salt Lake City, UT 84106-4165 | 2020-09-21 |
| 1841826971 | David Souza | Physician Assistant | 52 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-03-20 |
| 1134751902 | Jacie Anna Mundahl | Physician Assistant | 8th Ave C St E 80, Salt Lake City, UT 84143-0001 | 2020-02-10 |
| 1336770544 | Kelsey Rae Thompson | Physician Assistant | 3809 S Parkview Dr, Salt Lake City, UT 84124-2322 | 2020-01-28 |
| 1245885458 | Adam Douglas Whitney | Physician Assistant | 1056 E Harrison Ave, Salt Lake City, UT 84105-2445 | 2019-08-05 |
| 1306498654 | Jarred J Entringer | Physician Assistant | 2725 S 700 E Apt K, Salt Lake City, UT 84106-2883 | 2019-07-16 |
| 1588216840 | Christina Thomas | Physician Assistant | 255 N 400 W Apt 5015, Salt Lake City, UT 84103-1568 | 2019-07-16 |
| 1770135022 | Evar Saelee | Physician Assistant | 2630 E Stringham Ave Apt 224a, Salt Lake City, UT 84109-3945 | 2019-07-16 |
| 1982263471 | Ashley Marten | Physician Assistant | 3610 E Cascade Way, Salt Lake City, UT 84109-2307 | 2019-06-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
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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.