MRS. JESSICA TANDY STAHLE (NPI# 1598051070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598051070 |
Entity Type | Individual |
Full Name | MRS. JESSICA TANDY STAHLE |
Practice Address |
480 Cloverdale Rd North Salt Lake UT 84054-2323 |
Practice Telephone | 8018310630 |
Practice Fax Number | 8017979412 |
Mailing Telephone | 8018310630 |
Mailing Fax Number | 8017979412 |
Enumeration Date | 2011-06-23 |
Last Update Date | 2011-06-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175M00000X | Midwife, Lay | Other Service Providers |
Street Address |
480 CLOVERDALE RD |
City | NORTH SALT LAKE |
State | UT |
Zip Code | 84054-2323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801307962 | Melou Stewart Cline | Music Therapist | 1130 Eaglewood Loop, North Salt Lake, UT 84054 | 2017-10-17 |
1083157382 | Badger Management LLC | Pharmacy | 725 N Redwood Road, N Salt Lake, UT 84054 | 2016-11-18 |
1790161495 | Clayton Brimhall | Social Worker | 951 South Silvertree Lane, North Salt Lake, UT 84054 | 2015-08-04 |
1124423215 | Orbit Onsite Care Clinic | Internal Medicine | 845 North Overland Rd., North Salt Lake, UT 84054 | 2014-10-31 |
1972865244 | Ray A Dumas | Community/Behavioral Health | 144 S. 300 E., North Salt Lake City, UT 84054 | 2012-06-13 |
1699060624 | Jeanne Marie Chadwick | Massage Therapist | 955 Elizabeth Dr., Nsl, UT 84054 | 2011-06-17 |
1447368634 | Wendy Louise Wolfe | Speech-Language Pathologist | 774 East Independence Way, North Salt Lake City, UT 84054 | 2006-08-28 |
1558603209 | Thomas Alan Duernberger | Pharmacist | 669 W 900 N, North Salt Lake, UT 84054 | 2013-03-20 |
1710493283 | Danielle Jeanne Merritt | Behavioral Analyst | 919 Callie Ct, North Salt Lake, UT 84054-0165 | 2017-12-20 |
1326503053 | Elevation Behavioral Science Services, Pllc | Community/Behavioral Health | 919 Callie Ct, North Salt Lake, UT 84054-0165 | 2019-02-06 |
Find all providers in zip 84054 |
Taxonomy Code | 175M00000X |
Grouping | Other Service Providers |
Classification | Midwife, Lay |
A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629688734 | Marissa Coronado | Midwife, Lay | 10886 S Shilling Ave Apt 2034, South Jordan, UT 84095-4334 | 2020-08-04 |
1851914337 | Kandice Baird | Midwife, Lay | 627 N 1285 E, Layton, UT 84040-3619 | 2020-05-19 |
1447870712 | Christie Ann Bigham | Midwife, Lay | 3973 S 4800 W, West Valley City, UT 84120-4535 | 2020-04-16 |
1336787373 | Angella Mendenhall | Midwife, Lay | 659 S 1160 W, Orem, UT 84058-5908 | 2019-12-19 |
1982253118 | Desiree Irvine | Midwife, Lay | 154 Grouse Dr, Hurricane, UT 84737-2922 | 2019-09-10 |
1336793116 | Cheleste Marie Deveraux | Midwife, Lay | 569 E Howard Dr, Sandy, UT 84070-3457 | 2019-07-30 |
1659923597 | Kayce Pearson | Midwife, Lay | 1332 N 625 W Apt 2, Cedar City, UT 84721-8715 | 2019-07-11 |
1538627369 | Alicia Powell | Midwife, Lay | 622 N 900 E Ste 4, Spanish Fork, UT 84660-1696 | 2019-03-11 |
1659847762 | Sarah Fairlight Chase | Midwife, Lay | 1132 21st St, Ogden, UT 84401-0732 | 2018-10-16 |
1679048169 | Amanda Counter | Midwife, Lay | 1259 N Village Hill Cir, Salt Lake City, UT 84116-4708 | 2018-10-10 |
Find all providers with the same taxonomy |
City | NORTH SALT LAKE |
Zip Code | 84054 |
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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.