CORD SPECK (NPI# 1134733421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134733421 |
| Entity Type | Individual |
| Full Name | CORD SPECK |
| Credential | NP |
| Practice Address |
500 Foothill Dr Salt Lake City UT 84148-0001 |
| Mailing Address |
4717 Autumn Rose Trl Oakwood GA 30566-2417 |
| Practice Telephone | 8015821565 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN281351 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 FOOTHILL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84148-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889011 | Anthony W Middleton Jr. | Specialist | 500 Foothill Dr, Surgery (urology), Salt Lake City, UT 84148-0001 | 2005-05-31 |
| 1376150953 | Annette Sprankle | Pharmacist | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-09-28 |
| 1912512559 | Taylor Nicole Schweitzer | Speech-Language Pathologist | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-09-10 |
| 1023621232 | Thomas Alan Good Lance White Bull | Pharmacy Technician | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-08-26 |
| 1376155606 | Cassie Dance | Psychologist | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-08-18 |
| 1255943734 | Julia Ann Packard | Registered Nurse | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-08-17 |
| 1558972729 | Kathleen Sarette | Nurse Practitioner | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-08-12 |
| 1154931723 | Peter Jerome Torcivia | Student in an Organized Health Care Education/Training Program | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-08-07 |
| 1184234262 | Rebecca E Montgomery | Student in an Organized Health Care Education/Training Program | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-08-04 |
| 1811506710 | Claire Mcdonough | Psychologist | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211799 | Jacquelyn Rae Contant | Dietitian, Registered | 500 Foothill Dr. (120), Salt Lake City, UT 84148 | 2016-08-28 |
| 1699127811 | Taylor Alford | Pharmacist | 500 Foothills Drive, Salt Lake City, UT 84148 | 2016-07-12 |
| 1356792162 | Sarah Hummel | Genetic Counselor, MS | 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 | 2016-06-23 |
| 1174936140 | Elizabeth Shade Cardenas | Nurse Practitioner | 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 | 2014-06-08 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1790059038 | Deborah Ernstein Holley Hartzfeld | Genetic Counselor, MS | 615 Arapeen Drive #212, Salt Lake City, UT 84148 | 2012-03-05 |
| 1073823720 | Diana Lynn Robbins | Social Worker | 9140 W. Post Road, Las Vegas, NV 84148 | 2010-10-15 |
| 1659534394 | Katherine Margaret Dunn | Genetic Counselor, MS | 500 Foothill Drive (151z), Salt Lake City, UT 84148 | 2008-07-02 |
| 1730381625 | Douglas James Ball | Medical Genetics | Va Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148 | 2007-06-03 |
| 1245339530 | Daniel H Priestly | Radiology | 500 Foothill Dr., Salt Lake City, UT 84148 | 2006-09-22 |
| Find all providers in zip 84148 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353268 | Kassandra Olson | Nurse Practitioner | 3151 E 3900 S, Salt Lake City, UT 84124-2143 | 2020-04-01 |
| 1609426659 | Loriann Stromness | Nurse Practitioner | 5121 S Cottonwood St Ste 700, Salt Lake City, UT 84107-5701 | 2019-09-11 |
| 1447802418 | Amanda Nichole Eckersley | Nurse Practitioner | 8th Avenue C Street, Salt Lake City, UT 84143-0001 | 2019-07-10 |
| 1750858643 | Kristen Elena Gooch | Nurse Practitioner | 36 S State St Ste 2100, Salt Lake City, UT 84111-1472 | 2018-10-29 |
| 1659853992 | Jessica Singer | Nurse Practitioner | 762 E Browning Ave, Salt Lake City, UT 84105-2209 | 2018-09-04 |
| 1184147175 | Suzanne Milne | Nurse Practitioner | Lds Hospital 8th Avenue and C St Fl 8, Salt Lake City, UT 84143-0001 | 2017-07-20 |
| 1366964728 | Matthew Wayne Jarvis | Nurse Practitioner | 1250 E 3900 S Ste 30, Salt Lake City, UT 84124-1354 | 2017-07-07 |
| 1841749256 | Ashle Mayme Crane | Nurse Practitioner | 4435 S Loren Von Dr, Salt Lake City, UT 84124-3839 | 2016-09-26 |
| 1417405044 | Brett Lavar Carroll | Nurse Practitioner | 8 Th Ave & C Street E8, Salt Lake City, UT 84143-0001 | 2016-09-12 |
| 1487042537 | Adult Care Clinic Inc | Nurse Practitioner | 3920 S 1100 E Ste 250, Salt Lake City, UT 84124-1213 | 2014-12-23 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84148 |
Please comment or provide details below to improve the information on CORD SPECK.
| 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.