KIMBERLY KAE WEGGEMANN HOLDER


Address: 3018 E 3300 S, Slc, UT 84109-2144
Phone: 8014190705

KIMBERLY KAE WEGGEMANN HOLDER (NPI# 1124674460) 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) 1124674460
Entity Type Individual
Full Name KIMBERLY KAE WEGGEMANN HOLDER
Other Name KIMBERLY KAE WEGGEMANN
Credential FNP
Practice Address 3018 E 3300 S
Slc
UT 84109-2144
Mailing Address 1002 Manchester Rd
Kaysville
UT 84037-1320
Practice Telephone 8014190705
Enumeration Date 2019-08-13
Last Update Date 2019-08-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
5039306-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3018 E 3300 S
City SLC
State UT
Zip Code 84109-2144

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NPI Name Taxonomy Address Enumeration
1871102095 Aimee Hadfield Social Worker Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 2020-07-23
1245877448 Carla Lucile Applegate-anderson Nurse Practitioner 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 2019-12-06
1063991982 Madison Sanderson Physical Therapist 2295 S Foothill Dr Ste 1, Salt Lake City, UT 84109 2018-08-10
1023545951 Tyler Dale Hanks Dentist 2435 E 3300 S, Suite 101, Millcreek, UT 84109 2017-05-23
1992198881 Cynthia R Thorpe Marriage & Family Therapist 2624 East Mount Crest Drive, Salt Lake City, UT 84109 2015-03-17
1104247295 John Paul Lapine Dentist 3865 South 3500 East Ste. 201, Salt Lake City, UT 84109 2013-12-17
1073850301 Weston J Horne Massage Therapist 2760 South 1174 East, Suite 1d, Salt Lake City, UT 84109 2013-01-07
1538415138 Dominic Falsone Counselor 3846 Villa Dr, Salt Lake City, UT 84109 2012-08-01
1487926341 Richard R Flynn Pediatrics 2342 Dallin St., Salt Lake City, UT 84109 2012-02-07
1235449984 Keyhan Koohgivi Pharmacist 2566 East Sage Way, Salt Lake City, UT 84109 2010-10-15
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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
1942860481 Robin Morgan Nurse Practitioner Lds Hospital 8th Ave & C Street, Slc, UT 84143-0001 2019-06-17
1659520807 Treasure Ashleigh Morgan Nurse Practitioner 1010 E 2100 S, Suite B, Slc, UT 84106-3590 2008-09-11
1952596827 Alisa A Seeberger Nurse Practitioner 1548 E 4500 S Ste 202, Slc, UT 84117-5209 2007-09-12
1992922520 Kathy Marie Parry Nurse Practitioner Slc Va, 500 Foothill Dr, Slc, UT 84148-0001 2007-04-18
1770631079 Linda Young Lewis Nurse Practitioner 100 N Medical Dr Ste 3400, Slc, UT 84113-1103 2007-01-05
1356366181 Julianne Fallentine Nurse Practitioner 855 California Ave, Slc, UT 84104-1632 2006-07-13
1770194979 Kelli Dru Webster Nurse Practitioner 500 Foothill Dr, Slc, UT 84148-0001 2020-08-11
1952929895 Caren D Erekson Nurse Practitioner 4624 S Holladay Blvd Ste 201, Slc, UT 84117-7168 2020-07-07
1598326084 Nicole Ashley Lynch Nurse Practitioner 615 S Arapeen Dr Ste 100, Slc, UT 84108-1239 2019-06-25
1265916639 Grace-mae Cachero Genitiano Kelly Nurse Practitioner 4460 S Highland Dr, Slc, UT 84124-3543 2018-09-20
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Competitor

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City SLC
Zip Code 84109

Improve Information

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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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