JENICA SHELDON (NPI# 1003468729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003468729 |
| Entity Type | Individual |
| Full Name | JENICA SHELDON |
| Practice Address |
237 26th St Ogden UT 84401-3105 |
| Practice Telephone | 8016253700 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
9795183-3102 | UT | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | MEDICARE PIN | 000055266 | 01 |
| UT | 8760003008007 | 05 | |
| UT | RAILROAD MEDICARE | 260022408 | 01 |
| Street Address |
237 26TH ST |
| City | OGDEN |
| State | UT |
| Zip Code | 84401-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004209 | Teresa Ramos | Nurse Practitioner | 237 26th St, Ogden, UT 84401-3105 | 2005-06-22 |
| 1114525458 | Allsion Cooper | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-10-09 |
| 1164035226 | Brinley Roubinet | Community Health Worker | 237 26th St, Ogden, UT 84401-3105 | 2020-08-28 |
| 1679186647 | Salena Echevarria | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-08-28 |
| 1780296798 | Donna Lori King | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-08-20 |
| 1225649338 | Lori Ludlow | Counselor | 237 26th St, Ogden, UT 84401-3105 | 2020-08-12 |
| 1336750538 | Christy Rundio | Counselor | 237 26th St, Ogden, UT 84401-3105 | 2020-08-11 |
| 1083225288 | Tommi King | Counselor | 237 26th St, Ogden, UT 84401-3105 | 2020-08-11 |
| 1396355087 | Weber Human Services | Family Medicine | 237 26th St, Ogden, UT 84401-3105 | 2020-08-06 |
| 1902424252 | Madison Jarvis | Case Manager/Care Coordinator | 237 26th St, Ogden, UT 84401-3105 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
| 1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
| 1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
| 1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
| 1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
| 1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
| 1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
| 1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
| 1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
| 1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
| Find all providers in zip 84401 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780727982 | Yi Qu | Registered Nurse | 3660 Fowler Ave, Ogden, UT 84403-1914 | 2007-02-15 |
| 1437784477 | Ashley Catt | Registered Nurse | 237 26th St, Ogden, UT 84401-3105 | 2020-03-10 |
| 1841769221 | Daemon Alexander Kao'o Garso | Registered Nurse | 237 26th St, Ogden, UT 84401-3105 | 2018-11-15 |
| 1750850137 | Alexander Sebastian Diamond | Registered Nurse | 237 26th St, Ogden, UT 84401-3105 | 2018-11-15 |
| 1477022853 | Tana Diamond | Registered Nurse | 237 26th St, Ogden, UT 84401-3105 | 2018-11-15 |
| 1720508336 | Heather Garrett | Registered Nurse | 3903 Harrison Blvd Ste 300, Ogden, UT 84403-2362 | 2017-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621455 | Autumn Hamilton | Registered Nurse | 730 E 950 S Apt C227, Orem, UT 84097-6729 | 2020-08-25 |
| 1801413943 | Jennifer Olsen | Registered Nurse | 359 E 8620 S, Sandy, UT 84070-5514 | 2020-07-05 |
| 1407473846 | Vanessa Lopez | Registered Nurse | 2783 S Millard Cv, Magna, UT 84044-1582 | 2020-07-01 |
| 1710504253 | Kimmy Kyung Kwong | Registered Nurse | 7005 S Essex Court Cir Unit 7, Midvale, UT 84047-1756 | 2020-07-01 |
| 1821584988 | Michael Todd Johnson | Registered Nurse | 2137 W 70 S, Hurricane, UT 84737-2791 | 2018-07-02 |
| 1831632348 | Candace Ann James | Registered Nurse | 98 E 500 S, Providence, UT 84332-9801 | 2016-12-01 |
| 1669851382 | Julie Fitzwilliam | Registered Nurse | 525 E 100 S Ste 5000, Salt Lake City, UT 84102-1992 | 2015-05-27 |
| 1346591252 | Rodney K Nielson | Registered Nurse | 152 Norht 400 West, Ephriam, UT 84627-5549 | 2012-10-02 |
| 1558626135 | Piper Lynn Dereus | Registered Nurse | 249 S 700 E Apt 57, Salt Lake City, UT 84102-2145 | 2012-07-10 |
| 1174824999 | Holly J. Rapone | Registered Nurse | 5323 S Woodrow St Ste 102, Murray, UT 84107-5853 | 2010-11-10 |
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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.