MS. NANCY LEE THACKER (NPI# 1821072448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821072448 |
Entity Type | Individual |
Full Name | MS. NANCY LEE THACKER |
Credential | RN, BSN |
Practice Address |
1141 E 3900 S Salt Lake City UT 84124-1215 |
Mailing Address |
823 W 1440 N Orem UT 84057-2952 |
Practice Telephone | 8012844990 |
Practice Fax Number | 8012844991 |
Mailing Telephone | 8012706517 |
Mailing Fax Number | 8012844991 |
Enumeration Date | 2005-12-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
1960183102 | UT | Nursing Service Providers |
Street Address |
1141 E 3900 S |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84124-1215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649734989 | Megan Curtice | Community Health Worker | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2019-01-30 |
1730653510 | Raylina Perez | Community Health Worker | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2019-01-15 |
1215429329 | Sydney Dahmen | Spec/Tech, Health Info | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2018-06-04 |
1952898165 | Katie Rose Mcmahon | Counselor | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2018-04-13 |
1831692052 | Lillian Olivia Rodriguez | Community Health Worker | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2018-03-14 |
1346740503 | Melyssa L Perkes | Social Worker | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2018-02-14 |
1952770844 | Kira K Pedroza | Social Worker | 1141 E 3900 S, Suite 170, Salt Lake City, UT 84124-1215 | 2015-09-21 |
1043563836 | Jared Andes | Social Worker | 1141 E 3900 S, Ste A170, Salt Lake City, UT 84124-1215 | 2012-10-18 |
1497044168 | Laura Joy Haber | Social Worker | 1141 E 3900 S, Suite A170, Salt Lake City, UT 84124-1215 | 2011-04-04 |
1851628234 | Pathology Associates Medical Laboratories, LLC | Clinical Medical Laboratory | 1141 E 3900 S, Salt Lake City, UT 84124-1215 | 2009-11-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
Find all providers in zip 84124 |
Taxonomy Code | 163WP0807X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Child & Adolescent |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073609533 | John W Harris Jr. | Registered Nurse | 497 S Colorow Way, Salt Lake City, UT 84108 | 2006-10-04 |
1083105506 | Nicole Yolette Melling | Registered Nurse | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2018-05-21 |
1386142586 | Isaac Day Steele | Registered Nurse | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2018-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427660042 | Breanna Nicole Lundquist | Registered Nurse | 15254 S Cavalry Ct, Bluffdale, UT 84065-4992 | 2020-08-17 |
1306201256 | Denise Futrell | Registered Nurse | 290 E 500 S, American Fork, UT 84003-2427 | 2015-12-19 |
1770948622 | Jason O Zumwalt | Registered Nurse | 3497 W Pawnee St, West Valley, UT 84119-5028 | 2015-12-19 |
1376908343 | Michelle Larsen | Registered Nurse | 705 E 200 S, Pleasant Grove, UT 84062-2923 | 2015-12-17 |
1851609671 | Diane Everett | Registered Nurse | 11491 Cranberry Hill Ct, Draper, UT 84020-8592 | 2010-09-14 |
1003973785 | Katherine Denise Koller | Registered Nurse | 315 S 100 E, Provo, UT 84606-4649 | 2007-01-02 |
1780772608 | Patricia Drewry Sanger | Registered Nurse | 1600 Pinebrook Blvd, H 9, Park City, UT 84098-8276 | 2006-10-10 |
1124096417 | Raeanna Kirk | Registered Nurse | 11706 S 700 E, Draper, UT 84020-9365 | 2006-03-10 |
1659914356 | Tack D Macgregor | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-25 |
1457994162 | Timothy W Bartell | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-25 |
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City | SALT LAKE CITY |
Zip Code | 84124 |
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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.