JAN MARIE YOUNG (NPI# 1164902805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164902805 |
| Entity Type | Individual |
| Full Name | JAN MARIE YOUNG |
| Practice Address |
4460 S Highland Dr Ste 300 Slc UT 84124-3562 |
| Practice Telephone | 8889494864 |
| Mailing Telephone | 8889494864 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
277900-3102 | UT | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639356785 | Jan Mari Young | Physical Therapy Assistant | 6601 Lyndale Ave S, 105, Richfield, MN 55423-2477 | 2008-01-30 |
| 1093900748 | Jan P Young | Social Worker | 1715 E 23rd Ave, Hutchinson, KS 67502-1105 | 2007-09-06 |
| Street Address |
4460 S HIGHLAND DR STE 300 |
| City | SLC |
| State | UT |
| Zip Code | 84124-3562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063581163 | Deborahn Ann Nelson | Registered Nurse | 3420 E Millcreek Rd, Slc, UT 84109-4106 | 2006-11-06 |
| 1720061286 | Maxine Marie Sabin | Registered Nurse | 1141 E 3900 S, Ste A-250, Slc, UT 84124-1215 | 2005-11-29 |
| 1497725022 | Jared Moetao Tongaonevai | Registered Nurse | 1020 S Main St, Slc, UT 84101-3176 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621455 | Autumn Hamilton | Registered Nurse | 730 E 950 S Apt C227, Orem, UT 84097-6729 | 2020-08-25 |
| 1801413943 | Jennifer Olsen | Registered Nurse | 359 E 8620 S, Sandy, UT 84070-5514 | 2020-07-05 |
| 1407473846 | Vanessa Lopez | Registered Nurse | 2783 S Millard Cv, Magna, UT 84044-1582 | 2020-07-01 |
| 1710504253 | Kimmy Kyung Kwong | Registered Nurse | 7005 S Essex Court Cir Unit 7, Midvale, UT 84047-1756 | 2020-07-01 |
| 1821584988 | Michael Todd Johnson | Registered Nurse | 2137 W 70 S, Hurricane, UT 84737-2791 | 2018-07-02 |
| 1831632348 | Candace Ann James | Registered Nurse | 98 E 500 S, Providence, UT 84332-9801 | 2016-12-01 |
| 1669851382 | Julie Fitzwilliam | Registered Nurse | 525 E 100 S Ste 5000, Salt Lake City, UT 84102-1992 | 2015-05-27 |
| 1346591252 | Rodney K Nielson | Registered Nurse | 152 Norht 400 West, Ephriam, UT 84627-5549 | 2012-10-02 |
| 1558626135 | Piper Lynn Dereus | Registered Nurse | 249 S 700 E Apt 57, Salt Lake City, UT 84102-2145 | 2012-07-10 |
| 1174824999 | Holly J. Rapone | Registered Nurse | 5323 S Woodrow St Ste 102, Murray, UT 84107-5853 | 2010-11-10 |
| Find all providers with the same taxonomy | ||||
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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.