JENNIFER SMITH SHAW


Address: 1950 Circle of Hope, Salt Lake City, UT 84112-5550
Phone: 8015850100

JENNIFER SMITH SHAW (NPI# 1104253954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104253954
Entity Type Individual
Full Name JENNIFER SMITH SHAW
Credential APRN
Practice Address 1950 Circle of Hope
Salt Lake City
UT 84112-5550
Mailing Address 127 S 500 E Ste 600
Salt Lake City
UT 84102-1971
Practice Telephone 8015850100
Practice Fax Number 8015817575
Mailing Telephone 8015876705
Mailing Fax Number 8017158228
Enumeration Date 2013-10-10
Last Update Date 2017-10-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 275995-4405 UT Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
275995-4405 UT Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
275995-4405 UT Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
275995-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
UT UTAH APRN LICENSE 275995-4405 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2000 Circle of Hope, Salt Lake City, UT 84112 8015850254 8015817575

Other Providers JENNIFER SHAW

NPI Name Taxonomy Address Enumeration
1932761962 Jennifer Ann Shaw Speech-Language Pathologist 9453 Kochville Rd, Freeland, MI 48623-8623 2019-06-29
1417324609 Jennifer A Shaw Psychologist 9231 Hamer Road, Brown County Educational Service Center, Georgetown, OH 45121 2015-08-24
1891139051 Jennifer K Shaw Dietitian, Registered W129n7055 Northfield Dr Bldg A, Endocrinology Clinic, Menomonee Falls, WI 53051-0538 2013-04-18
1215231303 Jennifer Lea Shaw Social Worker 215 E 4th St, Waterloo, IA 50703-4701 2011-01-04
1750524336 Jennifer M Shaw Counselor 736 Vt Route 15 W, Hyde Park, VT 05655-9322 2009-04-13
1700433455 Jennifer Nichole Shaw Case Manager/Care Coordinator 16 E Auglaize St, Wapakoneta, OH 45895-1577 2019-08-19
1447812995 Jennifer Joan Shaw Psychiatry & Neurology 988435 Nebraska Medical Ctr, Omaha, NE 68198-8435 2019-07-05
1275017519 Jennifer Shaw Pharmacist 939 Sw Morrison St, Portland, OR 97205-2727 2018-09-22
1104322510 Jennifer Shaw Nurse Practitioner 2103 N Rome Ave, Tampa, FL 33607-3509 2018-04-04
1780130112 Jennifer Gail Shaw Student in an Organized Health Care Education/Training Program 19303 N New Tradition Rd, Sun City West, AZ 85375-3806 2016-08-26

Office Location

Street Address 1950 CIRCLE OF HOPE
City SALT LAKE CITY
State UT
Zip Code 84112-5550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699724500 Rosemary Conder Nurse Practitioner 1950 Circle of Hope, Clinic 3a, Salt Lake City, UT 84112-5500 2006-05-08
1558892968 Jennifer Lynne Mijangos Social Worker 1950 Circle of Hope, Huntsman Cancer Institute, Salt Lake City, UT 84112-9460 2017-03-27
1952857963 Rachel Montague Nurse Practitioner 1950 Circle of Hope, 505 Clinic, Salt Lake City, UT 84112-5550 2016-08-30
1568828002 Tenzin Kunsang Phunrab Nurse Practitioner 1950 Circle of Hope, Clinic 2b, Salt Lake City, UT 84112-5550 2016-01-13
1164891677 Breanne Eddington Physician Assistant 1950 Circle of Hope, Hch 4th Floor, Salt Lake City, UT 84112-5550 2015-09-15
1619353182 Jaclyn Jennifer Piper-williams Nurse Practitioner 1950 Circle of Hope, Sos Clinic, Salt Lake City, UT 84112-5550 2015-08-06
1356742233 Jutta Deininger Nurse Practitioner 1950 Circle of Hope, Clinic 3a, Salt Lake City, UT 84112-5550 2014-09-10
1679974059 Linda Sue Johnson Nurse Practitioner 1950 Circle of Hope, Hoh 4th Floor, Salt Lake City, UT 84112-5550 2014-09-04
1952710923 Krista Casey Physician Assistant 1950 Circle of Hope, Hch 4th Floor, Salt Lake City, UT 84112-5550 2014-08-04
1093065385 Jared Thomas Thorley Nurse Practitioner 1950 Circle of Hope, Clinic 2b, Salt Lake City, UT 84112-5550 2012-09-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508484023 Courtney Hook Student in an Organized Health Care Education/Training Program 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 2020-07-10
1235792839 Dylan Lamb Rehabilitation Practitioner 1850 S. 260 E, Salt Lake City, UT 84112 2019-04-18
1740787407 David Bradley Patch Student in an Organized Health Care Education/Training Program University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 2018-04-10
1962949586 Gina Whitehead Nurse Practitioner 10 South 2000 East, Salt Lake City, UT 84112 2017-01-20
1316493117 Dana Friske Specialist/Technologist 290 S 1850 E, Room 103, Salt Lake City, UT 84112 2016-08-31
1548612435 Frances Millett Johnson Nurse Practitioner 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 2016-07-05
1679920904 Jason Lippman Family Medicine 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 2016-05-17
1447604335 Joseph Mcbeth Specialist/Technologist 580 S. Guardsman Way, Salt Lake City, UT 84112 2016-04-18
1104213636 Cameron Critchfield Student in an Organized Health Care Education/Training Program 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 2015-04-22
1942697933 Jennifer Rose Dentist 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 2015-04-17
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174936140 Elizabeth Shade Cardenas Nurse Practitioner 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 2014-06-08
1366737579 Matrix Medical Network of Utah,llc Nurse Practitioner 2150 S 1300 E Ste 500, Salt Lake City, UT 84106-4375 2011-06-15
1265612097 Solo Clinical Services LLC Nurse Practitioner 1864 Downington Ave, Salt Lake City, UT 84108-2912 2007-11-09
1730201245 William Andrew Schwarz II Nurse Practitioner 4701 W 2100 S Bldg 3, C/o Cr England and Lakeside Medical Clinic, Salt Lake City, UT 84120-1223 2007-04-04
1700929338 Cristine Tuttle Nurse Practitioner 375 Chipeta Way Suita A200, University of Utah Hospitals and Clinics, Sleep Center, Salt Lake City, UT 84108-0001 2007-02-14
1972650836 Valerie Jean Flattes Nurse Practitioner Npha 4568 S Highland Drive, #290, Salt Lake City, UT 84117 2007-01-04
1184717878 Kathleen Hooten Nurse Practitioner 555 Foothill Dr Rm 301, Salt Lake City, UT 84112-1106 2006-10-02
1841225372 Janet E Tulloch Nurse Practitioner Va Slc Health Care Sytem 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2006-07-12
1770556946 Jane Elizabeth Bell Nurse Practitioner George E Whalen Va Med Center (111p), 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2006-02-08
1639796477 Lacey A Cooper Nurse Practitioner 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-06-27
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Competitor

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City SALT LAKE CITY
Zip Code 84112

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Dataset Information

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.

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