MS. JENNIFER P. WEAKLAND (NPI# 1083859714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083859714 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER P. WEAKLAND |
| Credential | FNP |
| Practice Address |
1200 E 3900 S Salt Lake City UT 84124 |
| Mailing Address |
1200 E 3900 S Salt Lake City UT 84124-1300 |
| Practice Telephone | 8012687111 |
| Mailing Telephone | 8012687111 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AC000882 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
10645070-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AC000882 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024167173 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AC000882 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AETNA HMO | 8525916 | 01 |
| MD | AETNA PPO | 9068913 | 01 |
| MD | 055157100 | 05 | |
| MD | CAREFIRST DC | X697-0008 | 01 |
| MD | KAISER | 316970 | 01 |
| MD | JHHC | 258254 | 01 |
| MD | CAREFIRST MD | 976869-02 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 E 3900 S, Salt Lake City, UT 841241300 | 8012687111 | |
| 90 Ritchie Hwy, Hospice of The Chesapeake, Pasadena, MD 211224303 | 4109872003 |
| Street Address |
1200 E 3900 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641249 | Samir N Wadhvania | Internal Medicine | 1200 E 3900 S, Suite 4b, Salt Lake City, UT 84124-1300 | 2005-07-06 |
| 1346847456 | Amanda Marie Robinson | Social Worker | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2020-10-02 |
| 1467081786 | Katherine Rogers | Physical Therapist | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2020-04-07 |
| 1972163368 | Carepoint Inpatient Blue Sky Neurology Utah, Pllc | Psychiatry & Neurology | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2019-06-18 |
| 1023596632 | Elizabeth Ann Lockwood | Physical Therapist | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2018-08-06 |
| 1073037941 | Melanie Steere | Dietitian, Registered | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2017-08-01 |
| 1003337585 | Mark Powell | Occupational Therapist | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2017-07-05 |
| 1932650207 | Jennifer Miller | Registered Nurse | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2016-10-20 |
| 1154775062 | Alex Nelson Knight | Anesthesiology | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2016-04-17 |
| 1437512662 | Salt Lake Trauma Specialists Pllc | Surgery | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2016-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204590 | Gabrielle Sleater Lewis | Nurse Practitioner | 2905 S Mcclelland St, Salt Lake City, UT 84106-2125 | 2020-11-01 |
| 1962019596 | Freya Kristen Landesman | Nurse Practitioner | 60 E South Temple Ste 300, Salt Lake City, UT 84111-1041 | 2020-09-28 |
| 1568075604 | Michelle L Davis | Nurse Practitioner | 24 S 1100 E Ste 305, Salt Lake City, UT 84102-4500 | 2020-08-28 |
| 1518583988 | Melanie Elise Harris | Nurse Practitioner | 1250 E 3900 S Ste 301, Salt Lake City, UT 84124-1350 | 2020-06-22 |
| 1295359651 | Julie Nielsen | Nurse Practitioner | 1170 E Westminster Ave Apt C, Salt Lake City, UT 84105-3514 | 2020-06-02 |
| 1770112138 | Justin Henderson | Nurse Practitioner | 3851 S Birch Dr, Salt Lake City, UT 84109-3742 | 2020-04-07 |
| 1346885845 | Anita Hui Lucente | Nurse Practitioner | 1111 E Brickyard Rd, Salt Lake City, UT 84106-2560 | 2019-11-08 |
| 1841844057 | Mayra Ibeth Vences | Nurse Practitioner | 1146 N Antilles Dr, Salt Lake City, UT 84116-4656 | 2019-07-25 |
| 1710549928 | Jenny Farley Mason | Nurse Practitioner | 4179 S Monarch Way, Salt Lake City, UT 84124-3168 | 2019-07-08 |
| 1144889940 | Amy Jackson Gilbert | Nurse Practitioner | 1950 Circle of Hope Dr Rm 4146, Salt Lake City, UT 84112-5500 | 2019-06-06 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
Please comment or provide details below to improve the information on MS. JENNIFER P. WEAKLAND.
| 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.