EMILY PECK (NPI# 1881060523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881060523 |
| Entity Type | Individual |
| Full Name | EMILY PECK |
| Credential | PA |
| Practice Address |
425 Medical Dr Suite 205 Bountiful UT 84010-4945 |
| Mailing Address |
2925 N Church St Unit B301 Layton UT 84040-6593 |
| Practice Telephone | 8012983812 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9500978-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932372323 | Emily Osborn Peck | Speech-Language Pathologist | 311 Mallard Ln, Sugar Grove, IL 60554-9406 | 2008-04-08 |
| 1881254506 | Emily Nicole Peck | Physical Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2019-06-14 |
| 1326405697 | Emily Peck | Dietetic Technician, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2016-01-18 |
| 1730595950 | Emily Ann Peck | Counselor | 200 24th St, Richmond, CA 94804-1804 | 2014-07-08 |
| 1760771935 | Emily Peck | Marriage & Family Therapist | 46 W Avon Rd, Avon, CT 06001-3679 | 2011-03-28 |
| Street Address |
425 MEDICAL DR SUITE 205 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127291 | Kevin N Clark | Surgery | 425 Medical Dr, Ste 101, Bountiful, UT 84010-4945 | 2005-10-12 |
| 1407394927 | Wellsprings LLC | Clinic/Center | 425 Medical Dr, Bountiful, UT 84010-4945 | 2017-02-03 |
| 1710344973 | Summit Speech Therapy | Speech-Language Pathologist | 425 Medical Dr, Suite #122, Bountiful, UT 84010-4945 | 2016-01-19 |
| 1407242993 | Allan C Edson, D.o., PC | Internal Medicine | 425 Medical Dr, Suite 207, Bountiful, UT 84010-4945 | 2015-04-10 |
| 1528389723 | Melanie Oliver | Nurse Practitioner | 425 Medical Dr, Suite 118, Bountiful, UT 84010-4945 | 2010-06-22 |
| 1740511518 | Bountiful Hearing Center, Pllc | Hearing Aid Equipment | 425 Medical Dr, Suite 200, Bountiful, UT 84010-4945 | 2010-01-19 |
| 1619106770 | James E Hillstrom | Dentist | 425 Medical Dr, Suite 211, Bountiful, UT 84010-4945 | 2009-07-10 |
| 1003056862 | Louis S. Naegle, Lcsw, P.C. | Marriage & Family Therapist | 425 Medical Dr, Suite 212, Bountiful, UT 84010-4945 | 2009-03-05 |
| 1740428549 | Jeffery R. Oka, M.d., P.C. | Specialist | 425 Medical Dr, Suite 108, Bountiful, UT 84010-4945 | 2009-02-02 |
| 1588822076 | Ihc Health Services Inc | Dermatology | 425 Medical Dr, Ste 202, Bountiful, UT 84010-4977 | 2008-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083156384 | Melissa Yamashiro | Physician Assistant | 620 Medical Dr, Suite 205, Bountiful, UT 84010-5084 | 2016-11-17 |
| 1790188829 | Hailey Poppe | Physician Assistant | 390 N Main St, Bountiful, UT 84010-6046 | 2014-10-03 |
| 1063759215 | Sean L. Webster | Physician Assistant | 557 W 2600 S, Bountiful, UT 84010-7717 | 2013-01-08 |
| 1790933216 | Hannah Belnap-gunn | Physician Assistant | 557 W 2600 S, Bountiful, UT 84010-7717 | 2008-09-09 |
| 1033238209 | David Elden Schow | Physician Assistant | 440 Medical Dr, Bountiful, UT 84010-4950 | 2007-03-28 |
| 1861510240 | Konneen Willis | Physician Assistant | 1551 Renaissance Towne Dr, Ste 460, Bountiful, UT 84010-7667 | 2007-03-26 |
| 1124000427 | Edward Guy Hunter | Physician Assistant | 380 N 200 W, Suite 209, Bountiful, UT 84010-7079 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
| 1437702875 | Jennica Marie Van Blerkom | Physician Assistant | 4755 S Wallace Ln, Holladay, UT 84117-6458 | 2019-07-23 |
| 1124599873 | Tcfh Lc | Physician Assistant | 9777 N 5520 W, Highland, UT 84003-9130 | 2018-12-06 |
| 1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
| 1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
| 1215446919 | Richard L Mittan | Physician Assistant | 65 E 6850 S, Midvale, UT 84047-1215 | 2017-09-25 |
| 1710416649 | Brian Adams | Physician Assistant | 1308 E 900 S # C, St George, UT 84790-8520 | 2017-06-05 |
| 1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
| 1396289799 | Jefferson M Allen | Physician Assistant | 356 W 840 S, Orem, UT 84058-6778 | 2016-12-05 |
| 1609324151 | Colby Bliss | Physician Assistant | 826 N Paiute Way, Richfield, UT 84701-1849 | 2016-09-13 |
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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.