KENZLEE WOODEN (NPI# 1043851116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043851116 |
| Entity Type | Individual |
| Full Name | KENZLEE WOODEN |
| Other Name | KENZLEE JEPPSEN |
| Practice Address |
845 S Main St Ste A7 Bountiful UT 84010-6482 |
| Mailing Address |
5671 S 650 E Washington Terrace UT 84405-1201 |
| Practice Telephone | 8012980903 |
| Mailing Telephone | 8016782518 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
9158154-8900 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
845 S MAIN ST STE A7 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-6482 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405228 | Jodi Pitt Dawson | Nurse Practitioner | 4695 Porter Ave, Ogden, UT 84403-3834 | 2020-10-19 |
| 1265090922 | Nina Davis | Nurse Practitioner | 1247 E Mockingbird Ln, Sandy, UT 84094-3118 | 2019-05-29 |
| 1023412434 | Gaylinn Breeze | Nurse Practitioner | 7093 S 2980 W, West Jordan, UT 84084-2963 | 2014-10-14 |
| 1174936140 | Elizabeth Shade Cardenas | Nurse Practitioner | 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 | 2014-06-08 |
| 1124449285 | Jan Clements | Nurse Practitioner | 1605 E Shadow Cv, Cottonwood Heights, UT 84121-3664 | 2013-12-16 |
| 1114289980 | Integrated Medical Services | Nurse Practitioner | 630 S. 400 E #101, St George, UT 84770 | 2012-06-08 |
| 1366737579 | Matrix Medical Network of Utah,llc | Nurse Practitioner | 2150 S 1300 E Ste 500, Salt Lake City, UT 84106-4375 | 2011-06-15 |
| 1609104553 | Denise Westover | Nurse Practitioner | 5169 S. Cottonwood St, Ste. 520, Murray, UT 84107 | 2009-12-03 |
| 1134457682 | Edith A Shepherd | Nurse Practitioner | 6923 W Long Ridge Dr, Herriman, UT 84096-3466 | 2009-11-20 |
| 1265612097 | Solo Clinical Services LLC | Nurse Practitioner | 1864 Downington Ave, Salt Lake City, UT 84108-2912 | 2007-11-09 |
| Find all providers with the same taxonomy | ||||
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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.