MS. JESSICA B MEENTS (NPI# 1073948196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073948196 |
| Entity Type | Individual |
| Full Name | MS. JESSICA B MEENTS |
| Credential | PA-C |
| Practice Address |
4700 Harrison Blvd Ogden UT 84403-4303 |
| Mailing Address |
Po Box 5546 Denver CO 80217-5546 |
| Practice Telephone | 8014753160 |
| Practice Fax Number | 8014753161 |
| Mailing Telephone | 8014753500 |
| Mailing Fax Number | 8014753489 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2018-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5655356-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1073948196 | 05 |
| Street Address |
4700 HARRISON BLVD |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151063 | Allisyn Okawa | Surgery | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2005-08-19 |
| 1285249318 | Austin R Bennion | Nurse Practitioner | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2020-09-15 |
| 1255979191 | Holly M Wright | Nurse Practitioner | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2019-12-11 |
| 1205494242 | Dennin M Loomis | Nurse Practitioner | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2019-06-04 |
| 1518401397 | Raymond M Miller | Nurse Practitioner | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2016-12-13 |
| 1649627761 | Ren Child | Nurse Practitioner | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2016-05-18 |
| 1396112041 | Jaren Mills | Physician Assistant | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2015-08-28 |
| 1104238948 | Jacob S Cooper | Physical Therapist | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2014-05-28 |
| 1164860573 | Brett Wayne Martindale | Family Medicine | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2013-06-07 |
| 1952684631 | Casey Eugene Johnston | Physician Assistant | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2011-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790188910 | Michael Caid Evans | Physician Assistant | 310 E 4575 S, Ogden, UT 84405-5841 | 2014-10-01 |
| 1659558112 | Tamara Emilie Meyers | Physician Assistant | 1274 35th St, Ogden, UT 84403-2162 | 2008-01-28 |
| 1013008408 | Scott B Mckay | Physician Assistant | 4403 Harrison Blvd Ste 1815, Ogden, UT 84403-3339 | 2006-09-28 |
| 1871859223 | Mark Kenneth Bennett | Physician Assistant | 4403 Harrison Blvd, Suite 1815, Ogden, UT 84403-3339 | 2012-04-10 |
| 1649553835 | Spencer Lance Davenport | Physician Assistant | 4403 Harrison Blvd Ste 2600, Ogden, UT 84403-3277 | 2011-09-23 |
| 1730416066 | Katherine Helen Mader | Physician Assistant | 3860 Jackson Ave, Suite 2, Ogden, UT 84403-1956 | 2009-11-06 |
| 1912103615 | Chad Barnett | Physician Assistant | 5495 S 500 E, Ste 120, Ogden, UT 84405-6923 | 2007-06-21 |
| 1427254135 | David F Castro | Physician Assistant | 5495 S 500 E, Ste 120, Ogden, UT 84405-6923 | 2007-06-21 |
| 1235335944 | Jan M Castro | Physician Assistant | 5495 S 500 E, Ste 120, Ogden, UT 84405-6923 | 2007-06-21 |
| 1225193584 | Health Clinics of Utah | Physician Assistant | 2540 Washington Blvd, #122, Ogden, UT 84401-3122 | 2006-12-27 |
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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.