JENNIFER E TRAVARELLI (NPI# 1295026979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295026979 |
| Entity Type | Individual |
| Full Name | JENNIFER E TRAVARELLI |
| Credential | M.D. |
| Practice Address |
389 S 900 E Salt Lake City UT 84102-2310 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 3852822800 |
| Mailing Telephone | 3852822800 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2016-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 8438004-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
389 S 900 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205810751 | Rachel Mitchell | Internal Medicine | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2005-11-29 |
| 1992311799 | Hannah Benoit Belles | Physical Therapist | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2020-09-17 |
| 1447876263 | Erin Ashley Romero | Physical Therapist | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2020-06-17 |
| 1972159952 | Paul Jacob Sharp | Nurse Practitioner | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2019-08-14 |
| 1053886655 | Jamie Plimpton | Physician Assistant | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2018-10-10 |
| 1467817270 | Mary K Jefferson | Dietitian, Registered | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2015-12-21 |
| 1316321797 | Laura Cushman | Clinical Exercise Physiologist | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2015-07-15 |
| 1265816193 | Jessica Laroche | Dietitian, Registered | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2015-07-09 |
| 1033598446 | Nira Liat Salant | Physical Therapist | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2015-05-19 |
| 1730571126 | Julie Lynn Roberts | Nurse Practitioner | 389 S 900 E, Salt Lake Clinic, Salt Lake City, UT 84102-2310 | 2015-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144753013 | Jessica Kaplan | Obstetrics & Gynecology | University of Utah University Hospital, 50 N Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-07 |
| 1326571621 | Kylie Measom Soffe | Obstetrics & Gynecology | Ob Gyn Administration 30 N 1900 E Rm 2b200, Salt Lake City, UT 84132-2101 | 2017-04-04 |
| 1639564016 | Kristen Hansord Lilja | Obstetrics & Gynecology | 82 S 1100 E Ste 305, Salt Lake City, UT 84102-4703 | 2015-04-01 |
| 1194119172 | Irina Cassimatis | Obstetrics & Gynecology | University of Utah Obgyn Dept, 30 N 1900 East. Room 2b200, Salt Lake City, UT 84132-0001 | 2015-03-26 |
| 1033509740 | Kathryn Fay | Obstetrics & Gynecology | 30 N 1900 E Rm 2a200, Salt Lake City, UT 84132-2209 | 2015-02-02 |
| 1932528676 | Aliye Runyan | Obstetrics & Gynecology | 30 North 1900 East 2a200, Dept of Obgyn, Salt Lake City, UT 84132 | 2014-04-09 |
| 1467870295 | Ashley Elizabeth Benson | Obstetrics & Gynecology | 30 N 9100 E, Room 2b200, Salt Lake City, UT 84132-0001 | 2014-03-29 |
| 1386088706 | Michelle Lynne Precourt Debbink | Obstetrics & Gynecology | 30 N 1900 E # 2a200, Salt Lake City, UT 84132-5000 | 2013-04-29 |
| 1427300938 | Nathan R Blue | Obstetrics & Gynecology | 30 N 1900 E # 2b200, Salt Lake City, UT 84132 | 2012-10-08 |
| 1417216516 | Robert Lee Dood | Obstetrics & Gynecology | University of Utah Health, Dept of Obgyn, 30 N 1900 E, Rm 2b200, Salt Lake City, UT 84132 | 2012-05-09 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
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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.