KRISTIN MARIE HUEFTLE (NPI# 1164765053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164765053 |
| Entity Type | Individual |
| Full Name | KRISTIN MARIE HUEFTLE |
| Credential | M.D. |
| Practice Address |
555 Foothill Dr Salt Lake City UT 84112-1106 |
| Mailing Address |
2834 S 2520 E Salt Lake City UT 84109-1832 |
| Practice Telephone | 8015812628 |
| Practice Fax Number | 8015852293 |
| Mailing Telephone | 4064983608 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
1164765053 | UT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 N 1900 E, Room 4c104, Salt Lake City, UT 841320002 | 8015817606 | 8015815393 |
| 1280 E Stringham Ave, Salt Lake City, UT 841062490 | 8015812000 |
| Street Address |
555 FOOTHILL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84112-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801887757 | Vicky Y. Digregorio | Pharmacist | 555 Foothill Dr, Madsen Health Center, Internal Medicine, Salt Lake City, UT 84112-1106 | 2005-10-31 |
| 1699382986 | University of Utah Behavioral Health Services | Social Worker | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2020-09-30 |
| 1922611961 | Joseph Eli Bergen | Pharmacist | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2020-08-28 |
| 1346872017 | Sharee Thompson | Dietitian, Registered | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2020-02-10 |
| 1285275222 | Deanna Marszalek | Psychologist | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2019-10-01 |
| 1326695990 | Emogene Elizabeth Dunn | Social Worker | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2019-08-19 |
| 1558925149 | Vanessa Browning | Dietitian, Registered | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2019-04-29 |
| 1669935524 | Mauli R. Dalal | Family Medicine | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2019-04-08 |
| 1316409097 | Joseph J. Novak | Family Medicine | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2019-04-02 |
| 1033616602 | Sherilyn M Destefano | Family Medicine | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2018-04-10 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 84112 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083638308 | Mark Andrew Supiano | Internal Medicine | University of Utah Healthcare, 30 North 1900 East; Ab193 Som, Salt Lake City, UT 84132-0001 | 2006-07-27 |
| 1568489375 | Rachael Stubbs | Internal Medicine | 2981 Juliet Way, Salt Lake City, UT 84121-7023 | 2006-07-16 |
| 1265475131 | Byron Bair | Internal Medicine | Slc Vamc Grecc (182), 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-06-14 |
| 1457398703 | Randall W. Rupper | Internal Medicine | Grecc (182) Bldg. 2, Vamc, 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2006-06-02 |
| 1609263300 | Shannon M. Devlin | Internal Medicine | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2015-04-20 |
| 1407250202 | University of Utah Adult Services | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1689709859 | Ihc Health Services Inc | Internal Medicine | 324 10th Ave, #200, Salt Lake City, UT 84103-2853 | 2007-02-21 |
| 1629145123 | Laurene Gay Joseph | Internal Medicine | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1202 | 2006-11-29 |
| 1609966217 | Jonathan Rich Nebeker | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| 1487744553 | Danesh Rahimi | Internal Medicine | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1202 | 2006-10-12 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84112 |
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| 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.