MRS. KRISTINA MARIE RAE (NPI# 1700289287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700289287 |
| Entity Type | Individual |
| Full Name | MRS. KRISTINA MARIE RAE |
| Credential | D.N.P. |
| Practice Address |
5505 S 900 E Ste 240 Murray UT 84117 |
| Mailing Address |
Po Box 3299 Carson City NV 89702-3299 |
| Practice Telephone | 8017835011 |
| Mailing Telephone | 7752220044 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
6611255-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5505 S 900 E STE 240 |
| City | MURRAY |
| State | UT |
| Zip Code | 84117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194709956 | Sanjeev Bakshi | Internal Medicine | 5505 S 900 E Ste 240, Murray, UT 84117 | 2005-12-05 |
| 1184280869 | Trenton Lane Williams | Nurse Practitioner | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2019-05-17 |
| 1710542949 | Leslie C Cluff | Physician Assistant | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2019-05-02 |
| 1326514274 | Emilia Fischer | Registered Nurse | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2018-10-18 |
| 1629551247 | Casey Jay Reynolds Jr. | Registered Nurse | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2018-09-10 |
| 1124518303 | Balimar B Lindgren | Nurse Practitioner | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2018-05-14 |
| 1487182705 | Linda Susan Iqbal | Internal Medicine | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2017-05-31 |
| 1821452269 | Stein Ingebretsen | Hospitalist | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2016-04-12 |
| 1053724856 | Michelle Hall | Nurse Practitioner | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2014-06-09 |
| 1780003061 | Daniel Wightman | Internal Medicine | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2014-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831691393 | Sandra Lee Stoker | Nurse Practitioner | Intermountain Medical Center - Ricu, 5121 S. Cottonwood St., Bldg. 5, Level 5, Murray, UT 84157 | 2018-03-01 |
| 1003162215 | Michael Christensen | Nurse Practitioner | 5802 S 900 E Unit 1, Murray, UT 84121-1644 | 2012-07-25 |
| 1740583863 | Jodi M Olson | Nurse Practitioner | 308 E 4500 S Ste 175, Murray, UT 84107-3977 | 2010-12-11 |
| 1447425897 | Jennifer Abigale Jurynec | Nurse Practitioner | 5121 South Cottonwood St., Murray, UT 84157 | 2008-04-28 |
| 1255309506 | Jessica Lynn Gargus | Nurse Practitioner | 1210 Johnson Blvd Ste 3, Murray, KY 42071-2973 | 2006-03-11 |
| 1497389233 | Amber Lauren Ashby | Nurse Practitioner | 300 S 8th St Ste 182w, Murray, KY 42071-2444 | 2020-03-02 |
| 1164055109 | Karissa Keagan Jackson | Nurse Practitioner | 5171 S Cottonwood St Ste 950, Murray, UT 84107-5713 | 2020-02-18 |
| 1871138313 | Cassandra J. Garcia | Nurse Practitioner | 5121 S Cottonwood St, Murray, UT 84107 | 2019-11-07 |
| 1003462482 | Kristy Bentley | Nurse Practitioner | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2019-08-12 |
| 1275188468 | Florin Butuc | Nurse Practitioner | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2019-08-05 |
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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.