DR. KATELIN IVY CAMPBELL (NPI# 1891101283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891101283 |
| Entity Type | Individual |
| Full Name | DR. KATELIN IVY CAMPBELL |
| Credential | PHARMD |
| Practice Address |
500 Foothill Drive 119 Salt Lake City UT 84184-0001 |
| Practice Telephone | 2074787972 |
| Mailing Telephone | 2074787972 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
PR12913 | ME | Pharmacy Service Providers |
| Street Address |
500 FOOTHILL DRIVE 119 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84184-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568927820 | Caitlin Goodman | Dietitian, Registered | 500 Foothill Dr, Salt Lake City, UT 84184-0001 | 2019-01-31 |
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|---|---|---|---|---|
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| 1437750262 | Nathan Haslam | Counselor | 636 E Roosevelt Ave, Salt Lake City, UT 84105-2121 | 2020-11-06 |
| 1982205829 | Brittany Nicole Beverly | Student in an Organized Health Care Education/Training Program | 236 N Sun Arbor Ter Apt 2111, Salt Lake City, UT 84116-4537 | 2020-11-06 |
| 1013518422 | Ascent Physical Therapy and Wellness | Home Health | 1549 W Haslam Cir, Salt Lake City, UT 84116-1633 | 2020-11-03 |
| 1962003541 | Allison Lee | Counselor | 565 S Post St, Salt Lake City, UT 84104-1346 | 2020-11-02 |
| 1891395422 | Sam Burk Clark | Behavior Technician | 515 S. 700 E, Suite 2a, Salt Lake City, UT 84102-2142 | 2020-11-01 |
| 1982204590 | Gabrielle Sleater Lewis | Nurse Practitioner | 2905 S Mcclelland St, Salt Lake City, UT 84106-2125 | 2020-11-01 |
| 1568062537 | Phillip Smith | Case Management | 230 W 400 S, Salt Lake City, UT 84101-1829 | 2020-10-29 |
| 1245830108 | Chadwick M Smith | Pharmacist | 7494 S 2135 E, Salt Lake City, UT 84121-4970 | 2020-10-29 |
| 1295335404 | Ida Nourbakhsh | Dentist | 1947 E Redondo Ave, Salt Lake City, UT 84108-3119 | 2020-10-27 |
| Find all providers in SALT LAKE CITY | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841642907 | Shannon Saldana | Pharmacist | 5770 S 1500 W, Salt Lake City, UT 84123-5216 | 2016-07-12 |
| 1093043721 | Jeffrey William Gower | Pharmacist | 500 Foothill Dr, Stop 119, Salt Lake City, UT 84148-0001 | 2009-11-18 |
| City | SALT LAKE CITY |
| Zip Code | 84184 |
Please comment or provide details below to improve the information on DR. KATELIN IVY CAMPBELL.
| 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.