SHANE JAIMEZ


Address: 166 E 5900 S Ste B109, Murray, UT 84107-7293
Phone: 3852754673

SHANE JAIMEZ (NPI# 1780156661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 166 E 5900 S STE B109
City MURRAY
State UT
Zip Code 84107-7293

Providers in the same zip code

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 Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City MURRAY
Zip Code 84107

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Dataset Information

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.

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