JENNA RENEE INGERSOLL (NPI# 1275944563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275944563 |
| Entity Type | Individual |
| Full Name | JENNA RENEE INGERSOLL |
| Credential | MD |
| Practice Address |
1365 W 1000 N Salt Lake City UT 84116-1654 |
| Mailing Address |
4745 S 3200 W Taylorsville UT 84129-2822 |
| Practice Telephone | 8013285750 |
| Practice Fax Number | 8774974661 |
| Mailing Telephone | (801) 858-3461 |
| Mailing Fax Number | 8019552389 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2017-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 10355275-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MRM-1395 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
1365 W 1000 N |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84116-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437670098 | William Stanley Garzon | Nurse Practitioner | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2017-07-03 |
| 1447636089 | Carolina Araujo Guitarrari | Nurse Practitioner | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2015-08-05 |
| 1720417959 | Jennyfer Quitian Chapman | Physician Assistant | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2013-11-07 |
| 1750721148 | Nicole Lee Ruske | Family Medicine | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2013-06-28 |
| 1477834141 | Aaron Steele Asay | Physician Assistant | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2011-09-07 |
| 1306136932 | Alana Jonat | Family Medicine | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2011-04-16 |
| 1215186077 | Amanda C Van Gils | Physician Assistant | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2008-09-16 |
| 1891944856 | Devin Mccormick Link | Dentist | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2008-09-15 |
| 1215057617 | Daniel J Mcatee | Physical Therapist | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2007-03-30 |
| 1548321268 | Dennis Wayner Peterson | Dentist | 1365 W 1000 N, Dental Department, Salt Lake City, UT 84116-1654 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1114402377 | Felicia Marie Speer | Community Health Worker | 1303 Sir Phillip Dr, Salt Lake City, UT 84116 | 2018-10-03 |
| 1982144341 | Sharlena Schacht | Pharmacy Technician | 1040 North 2200 West, Salt Lake City, UT 84116 | 2017-03-06 |
| 1316300460 | Riverside Family Dental Care, Inc | Clinic/Center | 1614 W 700 N, Salt Lake City, UT 84116 | 2016-04-05 |
| 1174882856 | Marilyn Ross | Nurse Practitioner | 384 Wright Brothers Dr., Marilyn Ross Bld #2, Salt Lake City, UT 84116 | 2012-05-15 |
| 1720387137 | Lifetime Products Inc. | Durable Medical Equipment & Medical Supplies | 745 N Warm Springs Rd, Salt Lake City, UT 84116 | 2011-03-24 |
| 1811000276 | Kim Coston Christensen | Preventive Medicine | 2150 West 700 North, Kim C. Christensen D.o. Faa Sl/artcc Mfo, Salt Lake City, UT 84116 | 2006-08-17 |
| 1144705583 | Brian Larry Gashler | Family Medicine | 54 N 8th W, Salt Lake City, UT 84116 | 2018-10-02 |
| 1528350972 | Aliesha Shaw | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, 5900, Salt Lake City, UT 84116 | 2011-05-04 |
| 1588113583 | Alicia Dalton | Community Health Worker | 1357 N Redwood Rd Apt 19, Salt Lake City, UT 84116-1449 | 2016-10-02 |
| Find all providers in zip 84116 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957468 | Aubrie Dawn Tilley | Family Medicine | 1741 E Imperial Park Ln, Salt Lake City, UT 84106-3379 | 2020-09-23 |
| 1457969834 | Sandra Lee Porter | Family Medicine | 3979 S Jester Dr, Salt Lake City, UT 84123-1227 | 2020-07-21 |
| 1265057673 | Onsite Care Clinics | Family Medicine | 230 S 500 E Ste 510, Salt Lake City, UT 84102-2028 | 2020-06-11 |
| 1467097071 | Centric Physicians Intermountain Region, Pllc | Family Medicine | 7101 N Mesa Street #365, Salt Lake City, UT 84101-1603 | 2019-11-07 |
| 1760036024 | Mindy Marie Wade | Family Medicine | 1950 E Fort Union Blvd, Salt Lake City, UT 84121-6894 | 2019-07-25 |
| 1841854338 | Tandy Muse | Family Medicine | 4460 S Highland Dr Ste 400, Salt Lake City, UT 84124-3565 | 2019-04-30 |
| 1821561408 | Terra Bowden | Family Medicine | 450 S 900 E Ste 175, Salt Lake City, UT 84102-2981 | 2019-01-07 |
| 1801379193 | Country Corner Family Medicine | Family Medicine | 5460 W Clernates Dr, Salt Lake City, UT 84118-8526 | 2018-09-12 |
| 1396259008 | Futura Medical Clinic | Family Medicine | 1407 W North Temple Ste 120, Salt Lake City, UT 84116-3187 | 2017-11-17 |
| 1255858734 | Fjm Basecamp | Family Medicine | 185 S State St Ste 208, Salt Lake City, UT 84111-1558 | 2017-08-25 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84116 |
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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.