SHANE JAIMEZ (NPI# 1780156661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780156661 |
Entity Type | Individual |
Full Name | SHANE JAIMEZ |
Credential | NP |
Practice Address |
166 E 5900 S Ste B109 Murray UT 84107-7293 |
Mailing Address |
Po Box 701721 West Valley UT 84170-1721 |
Practice Telephone | 3852754673 |
Mailing Telephone | 8018108267 |
Enumeration Date | 2018-12-17 |
Last Update Date | 2018-12-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
10975826-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
166 E 5900 S STE B109 |
City | MURRAY |
State | UT |
Zip Code | 84107-7293 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
Find all providers in zip 84107 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568076230 | Laken Nicole Darnell | Nurse Practitioner | 1601 Highway 121 Byp N Ste B, Murray, KY 42071-8759 | 2020-09-01 |
1851940282 | Shawna Niles | Nurse Practitioner | 201 E 5900 S Ste 100, Murray, UT 84107-5429 | 2019-09-09 |
1205304581 | Kristina Dantzel Crane | Nurse Practitioner | 5781 S Meadowcrest Dr, Murray, UT 84107-6501 | 2018-11-05 |
1649759069 | James C Taylor | Nurse Practitioner | 5848 S Fashion Blvd # 300e, Murray, UT 84107-6170 | 2018-08-07 |
1891291316 | Zackery Ross Wilkes | Nurse Practitioner | 5169 S Cottonwood St # 510, Murray, UT 84107-6767 | 2018-04-03 |
1396266177 | Rita Rutland | Nurse Practitioner | 308 E 4500 S Ste 280, Murray, UT 84107-3975 | 2017-06-30 |
1164951737 | Joanie Marie Limb | Nurse Practitioner | 835 E 4800 S Ste 230, Murray, UT 84107-5535 | 2017-06-07 |
1689113334 | Carolyn Winchester | Nurse Practitioner | 506 Lynnwood Ct, Murray, KY 42071-2218 | 2017-02-14 |
1053757492 | Shannon Velaine Shepherd | Nurse Practitioner | 1106 E 6600 S # 100, Murray, UT 84121-2446 | 2013-05-13 |
1902198914 | Mur-cal Family Healthcare LLC | Nurse Practitioner | 1304 Chestnut St, Murray, KY 42071-1698 | 2011-05-09 |
Find all providers in MURRAY |
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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.