JESSICA SHIELDS (NPI# 1275922684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275922684 |
| Entity Type | Individual |
| Full Name | JESSICA SHIELDS |
| Credential | MS, RD, CD |
| Practice Address |
8 Th Avenue and C St Salt Lake City UT 84143-0001 |
| Practice Telephone | 8014081760 |
| Mailing Telephone | 8014081760 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1090399 | UT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372423 | Jessica Shields | Counselor | 4563 Jasmine Hill Rd, Wetumpka, AL 36093-1840 | 2019-12-06 |
| 1548735269 | Jessica Shields | Marriage & Family Therapist | 180 W Huffaker Ln Ste 302-303, Reno, NV 89511-2346 | 2018-10-09 |
| 1518403427 | Jessica Jill Shields | Occupational Therapist | 5303 Cider Press Rd, Schnecksville, PA 18078-2913 | 2017-01-16 |
| 1093349268 | Jessica Shields | Speech-Language Pathologist | 924 W 6th St, Junction City, KS 66441-3229 | 2020-02-26 |
| 1548828247 | Jessica Lynn Shields | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2019-05-29 |
| 1104382639 | Jessica Shields | Nurse Practitioner | 2076 Nc Highway 42 W Ste 230, Clayton, NC 27520-5303 | 2019-02-20 |
| 1659881084 | Jessica Shields | Behavioral Analyst | 320 Central Ave Ste 406, Coos Bay, OR 97420-2241 | 2017-10-12 |
| 1679960140 | Jessica Shields | Student in an Organized Health Care Education/Training Program | 2020 Gravier St, New Orleans, LA 70112-2272 | 2015-04-22 |
| 1366852881 | Jessica Marie Shields | Occupational Therapist | 4560 Se International Way, Suite 101, Milwackie, OR 97222 | 2014-05-06 |
| 1427475839 | Jessica Ashley Shields | Registered Nurse | 3916 Ben Franklin Blvd, Durham, NC 27704 | 2014-03-24 |
| Street Address |
8 TH AVENUE AND C ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84143-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861964 | Mark L Martinez | Internal Medicine | 8 Th Avenue and C St, Salt Lake City, UT 84143-0001 | 2005-06-14 |
| 1447662564 | Brian Hardy | Pharmacist | 8 Th Avenue and C St, Salt Lake City, UT 84143-5521 | 2014-05-22 |
| 1023391083 | Jodi Lynn Mortensen | Nurse Practitioner | 8 Th Avenue and C St, Salt Lake City, UT 84143-0001 | 2011-09-26 |
| 1033354857 | Gail Cope Hilton | Social Worker | 8 Th Avenue and C St, Salt Lake City, UT 84143-0001 | 2008-12-08 |
| 1811140882 | Michelle Regruto | Internal Medicine | 8 Th Avenue and C St, Salt Lake City, UT 84143-0001 | 2008-11-03 |
| 1144233214 | Kevin C Shilling | Internal Medicine | 8 Th Avenue and C St, Salt Lake City, UT 84143-1005 | 2006-08-13 |
| 1528078581 | Ihc Health Services Inc. | Psychiatric Unit | 8 Th Avenue and C St, Salt Lake City, UT 84143-0001 | 2006-08-09 |
| 1568496958 | Clyde Dejong Ford | Internal Medicine | 8 Th Avenue and C St, Bone Marrow Transplant, Salt Lake City, UT 84143-0001 | 2006-07-10 |
| 1649224940 | Charles Michael Ayers | Internal Medicine | 8 Th Avenue and C St, Salt Lake City, UT 84143-0001 | 2006-05-20 |
| 1902880685 | William Beninati | Internal Medicine | 8 Th Avenue and C St, Intermountain Lds Hospital-critical Care Medicine, Salt Lake City, UT 84143-0001 | 2005-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053725572 | Robert Thomas Nuttall | Respiratory Therapist, Registered | 8th Ave. and C Street, Salt Lake City, UT 84143 | 2014-06-12 |
| 1346447331 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and 'c' Street, Salt Lake City, UT 84143 | 2007-07-02 |
| 1629142898 | Robert L Mazzola | Internal Medicine | 8th & C Street, Intermountain Sleep Disorders Center - Lds Hospital, Salt Lake City, UT 84143 | 2006-11-20 |
| 1053407726 | Tom V Cloward | Internal Medicine | 400 D Street Ste 206, Salt Lake City, UT 84143 | 2006-10-04 |
| 1396838926 | Sharon Briggs Schneider | Pharmacist | 8th Ave and C Street, Salt Lake City, UT 84143 | 2006-10-02 |
| 1700818911 | Rebecca Bailey | Psychologist | 4n, 8th Ave C Street, Salt Lake City, UT 84143 | 2006-07-07 |
| 1851348924 | Gayle White | Nurse Practitioner | 8th Ave C Street, Lds Hospital Wound Care Service, Salt Lake City, UT 84143 | 2006-05-27 |
| 1669459301 | Steven Eugene Nickman | Physician Assistant | 8th Avenue & C Street, Lds Hospital E8/ibmt Program, Salt Lake City, UT 84143 | 2005-12-23 |
| 1912454448 | Todd J Seamons | Pharmacist | 8th Ave & C St, Outpatient Pharmacy, Salt Lake City, UT 84143 | 2016-09-01 |
| 1235568130 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and C St, Lds Hospital, Salt Lake City, UT 84143 | 2013-11-01 |
| Find all providers in zip 84143 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342426 | Claire Pomorski | Dietitian, Registered | 996 S 200 E Apt 108, Salt Lake City, UT 84111-4253 | 2020-10-01 |
| 1518570118 | Stephanie P Bergen | Dietitian, Registered | 1132 E Bryan Ave Apt A, Salt Lake City, UT 84105-2508 | 2020-08-25 |
| 1023626199 | Amelia Pape | Dietitian, Registered | 2079 S 1200 E Unit 210, Salt Lake City, UT 84105-3582 | 2020-07-15 |
| 1669099024 | Rachel Elizabeth Hoobler | Dietitian, Registered | 718 E Emerson Ave, Salt Lake City, UT 84105-2217 | 2020-07-01 |
| 1780204511 | Joan Kathleen Ryan | Dietitian, Registered | 5370 E Pioneer Fork Rd, Salt Lake City, UT 84108-1679 | 2020-04-22 |
| 1104460567 | Patricia Maxine Guenther | Dietitian, Registered | 16 E Churchill Dr, Salt Lake City, UT 84103-2266 | 2019-10-29 |
| 1497230734 | Theresa E Dvorak | Dietitian, Registered | 3334 E Fortuna Dr, Salt Lake City, UT 84124-5616 | 2018-10-02 |
| 1578043816 | Alexander James Barker Smith | Dietitian, Registered | 263 L St, Salt Lake City, UT 84103-3541 | 2018-08-16 |
| 1861970337 | Mylena Avalos Dominguez | Dietitian, Registered | 295 S Chipeta Way Ste 248, Salt Lake City, UT 84108-1287 | 2018-08-06 |
| 1073029245 | Lindsey Marie Imber | Dietitian, Registered | 500 Foothill Dr Bldg 5, Salt Lake City, UT 84148-5101 | 2017-12-23 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84143 |
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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.