MS. SUSAN GALE TREVITHICK (NPI# 1730288374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730288374 |
| Entity Type | Individual |
| Full Name | MS. SUSAN GALE TREVITHICK |
| Credential | RN |
| Practice Address |
Va Salt Lake City Healthcare System Mc # 118 500 Foothill Boulevard Salt Lake City UT 84148-0001 |
| Mailing Address |
8831 Alpen Way Salt Lake City UT 84121-6105 |
| Practice Telephone | 8015821565 |
| Practice Fax Number | 8015841298 |
| Mailing Telephone | 8019435261 |
| Mailing Fax Number | 8015841298 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
189015-3102 | UT | Nursing Service Providers |
| Street Address |
VA SALT LAKE CITY HEALTHCARE SYSTEM MC # 118 500 FOOTHILL BOULEVARD |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84148-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211799 | Jacquelyn Rae Contant | Dietitian, Registered | 500 Foothill Dr. (120), Salt Lake City, UT 84148 | 2016-08-28 |
| 1699127811 | Taylor Alford | Pharmacist | 500 Foothills Drive, Salt Lake City, UT 84148 | 2016-07-12 |
| 1356792162 | Sarah Hummel | Genetic Counselor, MS | 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 | 2016-06-23 |
| 1174936140 | Elizabeth Shade Cardenas | Nurse Practitioner | 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 | 2014-06-08 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1790059038 | Deborah Ernstein Holley Hartzfeld | Genetic Counselor, MS | 615 Arapeen Drive #212, Salt Lake City, UT 84148 | 2012-03-05 |
| 1073823720 | Diana Lynn Robbins | Social Worker | 9140 W. Post Road, Las Vegas, NV 84148 | 2010-10-15 |
| 1659534394 | Katherine Margaret Dunn | Genetic Counselor, MS | 500 Foothill Drive (151z), Salt Lake City, UT 84148 | 2008-07-02 |
| 1730381625 | Douglas James Ball | Medical Genetics | Va Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148 | 2007-06-03 |
| 1245339530 | Daniel H Priestly | Radiology | 500 Foothill Dr., Salt Lake City, UT 84148 | 2006-09-22 |
| Find all providers in zip 84148 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225390016 | Jason Lee Fogle | Registered Nurse | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2012-06-08 |
| 1194045807 | Dani Plothow | Registered Nurse | 42 S 500 E, Salt Lake City, UT 84102-1002 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013525138 | Merry Jane Lee | Registered Nurse | 3278 Mohican Way, Provo, UT 84604-4830 | 2020-07-14 |
| 1134497597 | Lois Jean Dainack | Registered Nurse | 1210 W Curly Hallow Dr, St George, UT 84770-7080 | 2011-12-13 |
| 1356630883 | Jill Ann Smith | Registered Nurse | 3732 Bari Way, B202, South Jordan, UT 84095-5590 | 2011-04-05 |
| 1780240374 | Linsey Beth Broadbent | Registered Nurse | 1283 Deer Valley Dr, Park City, UT 84060-5182 | 2019-05-20 |
| 1427563154 | Dominika Jillian Cherico | Registered Nurse | 3149 E 9800 S, Sandy, UT 84092-4213 | 2017-12-04 |
| 1295058329 | Gina A. Tuttle | Registered Nurse | 55 S 500 E, Heber City, UT 84032-1918 | 2010-03-03 |
| 1639357064 | Lynn P Little | Registered Nurse | 6505 Landmark Dr, #300, Park City, UT 84098-5999 | 2008-02-07 |
| 1336256668 | Lewis Lamar Barney | Registered Nurse | 200 N 400 E, Panguitch, UT 84759-0389 | 2006-08-24 |
| 1952381139 | Kathleen Ann Veresh | Registered Nurse | 1020 S Main St, Slc, UT 84101-3176 | 2006-01-22 |
| City | SALT LAKE CITY |
| Zip Code | 84148 |
Please comment or provide details below to improve the information on MS. SUSAN GALE TREVITHICK.
| 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.