MS. KATHLEEN CONNOLE RODMAN (NPI# 1760439574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760439574 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN CONNOLE RODMAN |
| Credential | APRN |
| Practice Address |
508 E South Temple Ste 205 Salt Lake City UT 84102-1013 |
| Mailing Address |
255 Douglas St Salt Lake City UT 84102-2610 |
| Practice Telephone | 8015960100 |
| Practice Fax Number | 8015968800 |
| Mailing Telephone | 8015839639 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
193462-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | SELECT HEALTH | 107019359102 | 01 |
| Street Address |
508 E SOUTH TEMPLE STE 205 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346219243 | Sally Sue Burgin | Social Worker | 508 E South Temple, #a 30, Salt Lake City, UT 84102-1013 | 2006-03-15 |
| 1538462874 | Becky Bailey, Ph.d., PC | Psychologist | 508 E South Temple, #225, Salt Lake City, UT 84102-1013 | 2010-12-08 |
| 1073840963 | Kathleen K Lindsay | Nurse Practitioner | 508 E South Temple, Suite 310, Salt Lake City, UT 84102-1013 | 2009-11-12 |
| 1053548214 | Ronda Joy Miller-ernest | Nurse Practitioner | 508 E South Temple, 310, Salt Lake City, UT 84102-1013 | 2009-06-16 |
| 1508036898 | Anne Freed Goldberg | Social Worker | 508 E South Temple, Suite 206, Salt Lake City, UT 84102-1013 | 2008-03-03 |
| 1124228168 | Scott Bryan Hair | Dentist | 508 E South Temple, Suite 126, Salt Lake City, UT 84102-1013 | 2007-07-18 |
| 1275743429 | Chandra Fenwick | Counselor | 508 E South Temple, Suite 201, Salt Lake City, UT 84102-1013 | 2007-05-23 |
| 1740499433 | Intermountain Pediatric Clinic | Pediatrics | 508 E South Temple, Suite 310, Salt Lake City, UT 84102-1013 | 2007-05-21 |
| 1205041894 | Sidne Jones | Nurse Practitioner | 508 E South Temple, Suite 206, Salt Lake City, UT 84102-1013 | 2007-05-14 |
| 1477676112 | Paul H. Swensen | Pediatrics | 508 E South Temple, Suite 310, Salt Lake City, UT 84102-1013 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659726511 | Erin Johnson Cole | Nurse Practitioner | 10 S 2000 E # Slc, Salt Lake City, UT 84112-5880 | 2016-04-28 |
| 1386063048 | Vennie Ying | Nurse Practitioner | 3090 E 3300 S Ste 100, Salt Lake City, UT 84109-2106 | 2014-04-10 |
| 1902112600 | Cecily Light | Nurse Practitioner | 1167 Bryan Ave, Salt Lake City, UT 84105-2507 | 2010-08-19 |
| 1619160280 | Holly Danielle Stewart | Nurse Practitioner | 348 E 4500 S Ste 200, Salt Lake City, UT 84107-3936 | 2007-08-27 |
| 1477542363 | Kathleen Ann Burke | Nurse Practitioner | 654 S 900 E, Salt Lake City, UT 84102-3478 | 2005-10-14 |
| 1467062570 | Adrianne F Shewell | Nurse Practitioner | 654 S 900 E, Salt Lake City, UT 84102-3430 | 2020-08-04 |
| 1891341574 | Aurelia Renee Wann | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2019-08-17 |
| 1093239428 | Molly Walker Beck | Nurse Practitioner | 675 S Arapeen Dr, Salt Lake City, UT 84108-1223 | 2017-07-27 |
| 1689007155 | Sharlene K Watson | Nurse Practitioner | 1053 E 2100 S, Salt Lake City, UT 84106-2349 | 2013-08-19 |
| 1033410394 | Kirsti Rinne | Nurse Practitioner | 654 S 900 E, Salt Lake City, UT 84102-3478 | 2010-11-03 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on MS. KATHLEEN CONNOLE RODMAN.
| 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.