YOUNGBEEN JEON SHAMO


Address: 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550
Phone: 8015850255

YOUNGBEEN JEON SHAMO (NPI# 1124638812) 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) 1124638812
Entity Type Individual
Full Name YOUNGBEEN JEON SHAMO
Credential NP
Practice Address 2000 Circle of Hope Dr
Salt Lake City
UT 84112-5550
Practice Telephone 8015850255
Mailing Telephone 8015877000
Enumeration Date 2020-08-06
Last Update Date 2020-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
8049068-4405 UT Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
8049068-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2000 CIRCLE OF HOPE DR
City SALT LAKE CITY
State UT
Zip Code 84112-5550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699775767 Sunil Sharma Internal Medicine 2000 Circle of Hope Dr, #3380, Salt Lake City, UT 84112-5550 2005-07-29
1760091359 Samantha Jean Powell Social Worker 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2020-07-29
1760035174 Nidhi Sharma Nurse Practitioner 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2019-07-24
1356901003 Cassie Kuhn Nurse Practitioner 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2019-06-15
1134788623 Ambreen Khan Genetic Counselor, MS 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2019-06-10
1558920835 Jace Dakota Johnny Nurse Practitioner 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2019-06-10
1548738826 Yelena Ping Wu Psychologist 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2018-11-05
1902380058 Emily Catherine Armstrong Physician Assistant 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2018-09-24
1467934398 Alexandra Suzanne Locke Physician Assistant 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2018-09-06
1548752827 Kelsie J Anderson Nurse Practitioner 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2018-06-03
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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 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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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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