MARY JO GRANT (NPI# 1245671247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245671247 |
| Entity Type | Individual |
| Full Name | MARY JO GRANT |
| Credential | APRN |
| Practice Address |
100 Mario Capecchi Dr Slc UT 84113-1103 |
| Practice Telephone | 8016622442 |
| Mailing Telephone | 8016622442 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
218983-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 MARIO CAPECCHI DR |
| City | SLC |
| State | UT |
| Zip Code | 84113-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578962007 | Bonnie Larsen | Occupational Therapist | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | 2014-08-20 |
| 1639585011 | Dennis Johnson | Medical Genetics | 100 Mario Capecchi Dr, Dept. of Pathology, Slc, UT 84113-1103 | 2014-07-07 |
| 1083037766 | Lyn Standing | Nurse Practitioner | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | 2014-01-30 |
| 1487999355 | Tara Lee Finnerty | Dietitian, Registered | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | 2012-12-04 |
| 1740463595 | Tricia Hoggan | Nurse Practitioner | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | 2007-12-14 |
| 1255432001 | John Taylor Smith | Orthopaedic Surgery | 100 Mario Capecchi Dr, 4550, Slc, UT 84113-1103 | 2006-09-26 |
| 1396762480 | Jared W Henricksen | Pediatrics | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | 2006-07-16 |
| 1720033079 | Stephanie Marie Holmes | Orthopaedic Surgery | 100 Mario Capecchi Dr, 4550, Slc, UT 84113-1103 | 2006-05-24 |
| 1881649929 | Peter M Stevens | Orthopaedic Surgery | 100 Mario Capecchi Dr, 4550, Slc, UT 84113-1103 | 2006-05-24 |
| 1902859473 | Alan Kendrick Stotts | Orthopaedic Surgery | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | 2006-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
| 1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
| 1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
| 1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
| Find all providers in zip 84113 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144706045 | Kali Dawn Dayton | Nurse Practitioner | 8th Ave and C St, Slc, UT 84143-0001 | 2018-07-13 |
| 1245683127 | Jennifer Lynne Merkley | Nurse Practitioner | 50 N Medical Dr, Slc, UT 84132-0001 | 2016-07-15 |
| 1255715868 | Daniel Evan Hovey | Nurse Practitioner | 175 N Medical Dr E, Slc, UT 84132-5901 | 2015-07-13 |
| 1376872952 | Emily Erickson | Nurse Practitioner | 1950 Circle of Hope, Acute Care Clinic, Slc, UT 84112-5550 | 2009-12-10 |
| 1164441226 | Wendy Whitney | Nurse Practitioner | 855 California Ave, Slc, UT 84104-1632 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304309 | Karen Marie Dewey | Nurse Practitioner | 6006 S Ginger St, Taylorsville, UT 84129-5130 | 2020-07-30 |
| 1598374357 | David Zobell | Nurse Practitioner | 1389 S 325 E, Bountiful, UT 84010-5157 | 2020-07-28 |
| 1194353268 | Kassandra Olson | Nurse Practitioner | 3151 E 3900 S, Salt Lake City, UT 84124-2143 | 2020-04-01 |
| 1861029696 | Darienne Autumn Rae Anderson | Nurse Practitioner | 7199 N Golden Ridge Dr, Eagle Mountain, UT 84005-6287 | 2020-03-23 |
| 1225662448 | Amelia H Teas | Nurse Practitioner | 1388 W 2350 S, Woods Cross, UT 84087-2427 | 2020-02-26 |
| 1528690930 | Marcia Davis | Nurse Practitioner | 3595 S 1550 W, Saint George, UT 84790-7789 | 2020-02-04 |
| 1790322667 | Jenifer Foley | Nurse Practitioner | 13757 S Shaggy Mountain Rd, Herriman, UT 84096-3225 | 2019-12-10 |
| 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 |
| 1962066795 | Scott Belnap | Nurse Practitioner | 4823 W Red Admiral Dr, Riverton, UT 84096-6936 | 2019-04-26 |
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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.