KIMBERLY MORTENSON (NPI# 1083705735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083705735 |
| Entity Type | Individual |
| Full Name | KIMBERLY MORTENSON |
| Credential | NP |
| Practice Address |
48 N 1100 E Suite C American Fork UT 84003-2910 |
| Practice Telephone | 8014924933 |
| Practice Fax Number | 8014924371 |
| Mailing Telephone | 8014924933 |
| Mailing Fax Number | 8014924371 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
2756754405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | PALMETTO | P00300688 | 01 |
| Street Address |
48 N 1100 E SUITE C |
| City | AMERICAN FORK |
| State | UT |
| Zip Code | 84003-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588646350 | James Robert Nelson | Specialist | 48 N 1100 E, Suite A, American Fork, UT 84003-2910 | 2005-11-17 |
| 1972952828 | Premier Dermatology | Dermatology | 48 N 1100 E, American Fork, UT 84003-2910 | 2016-06-10 |
| 1730568445 | American Fork Pediatrics, Inc. | Pediatrics | 48 N 1100 E, Suite C, American Fork, UT 84003-2910 | 2015-05-27 |
| 1861648644 | Aaron Jacob Peterson | Dermatology | 48 N 1100 E, American Fork, UT 84003-2910 | 2008-08-13 |
| 1356524953 | Steven D Rowley Md Facs | Specialist | 48 N 1100 E, Suite B, American Fork, UT 84003-2910 | 2007-12-06 |
| 1457493967 | Gregory Carl Chipman | Internal Medicine | 48 N 1100 E, Ste B, American Fork, UT 84003-2910 | 2007-02-12 |
| 1548220148 | Michael D Whiting | Pediatrics | 48 N 1100 E, Suite C, American Fork, UT 84003-2910 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917496 | Centre Health Group | Clinic/Center | 70 West Main, Suite B, American Fork, UT 84003 | 2020-06-19 |
| 1457902553 | Lactation Link | Health Educator | 5524 Sicily Lane, Highland, UT 84003 | 2019-09-20 |
| 1750805511 | Eric Austin Haws | Physical Therapist | 1184 East 80 North, American Fork, UT 84003 | 2017-08-02 |
| 1578914784 | Ofa Moeai | Social Worker | 315 N 900 E, American Fork, UT 84003 | 2016-06-29 |
| 1639585839 | Carmel Ferreira | Acupuncturist | 42 N 200 E Ste 1, American Fork, UT 84003 | 2014-07-08 |
| 1619305869 | Luke Daren Sterger | Counselor | 995 West 1100 North, American Fork, UT 84003 | 2013-10-25 |
| 1356778252 | Reese & Weaver Dds LLC | Optometrist | 11038 N. Highland Blvd, Suite 200, Highland, UT 84003 | 2013-10-09 |
| 1518308444 | A Balanced Life Med Products | Durable Medical Equipment & Medical Supplies | 291 N 300 E Ste. C, American Fork, UT 84003 | 2013-07-08 |
| 1376981274 | Jesse Lucinda James | Family Medicine | 98 B. 1100 E. Suite #102, American Fork, UT 84003 | 2013-06-13 |
| 1922442904 | Premier Family Medical | Family Medicine | 226 N 100 E, Ste A, American Fork, UT 84003 | 2013-04-22 |
| Find all providers in zip 84003 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790036689 | Sharon Renae Davis | Clinical Nurse Specialist | 5869 W Muirwood Dr, Herriman, UT 84096-8203 | 2012-10-02 |
| 1033653233 | Andrea Life Investment Enterprises | Clinical Nurse Specialist | 4400 S 700 E Ste 201, Millcreek, UT 84107-3053 | 2016-12-07 |
| 1316307515 | Janice L. Schorr, Fnp, Health Clinic, L.L.C. | Clinical Nurse Specialist | 32 W 200 S # 132, Salt Lake City, UT 84101-1603 | 2016-03-01 |
| 1023272085 | John Montford Jex | Clinical Nurse Specialist | 8 Th Ave & C St, Salt Lake City, UT 84143-0001 | 2008-07-17 |
| 1184800047 | Janice Robinson | Clinical Nurse Specialist | 1305 N Commerce Dr, Saratoga Springs, UT 84045-5305 | 2008-01-10 |
| 1811176761 | Brandi Bolton-orr | Clinical Nurse Specialist | 2000 S 900 E, Slc, UT 84105-3208 | 2007-10-29 |
| 1700077229 | Hitomi Nashiyama | Clinical Nurse Specialist | 3215 Valley St, Salt Lake City, UT 84109-4217 | 2007-08-08 |
| City | AMERICAN FORK |
| Zip Code | 84003 |
Please comment or provide details below to improve the information on KIMBERLY MORTENSON.
| 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.