MR. JEFFREY P SEAGROVE (NPI# 1306269394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306269394 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY P SEAGROVE |
| Other Name | MR. FREY P SEAGROVE |
| Credential | MSN, APRN, PMHNP |
| Practice Address |
860 E 4500 S Suite #302 Salt Lake City UT 84107-3002 |
| Mailing Address |
419 E 200 S Apt. #19 Salt Lake City UT 84111-2128 |
| Practice Telephone | 8012680333 |
| Mailing Telephone | 8013604002 |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
7897695-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
860 E 4500 S SUITE #302 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780672915 | Roderick Verne Johnson | Counselor | 860 E 4500 S, Suite 302, Salt Lake City, UT 84107-3002 | 2005-10-11 |
| 1427409853 | Jennifer Bench | Counselor | 860 E 4500 S, #312, Salt Lake City, UT 84107-3002 | 2016-06-27 |
| 1184056731 | Becky Louise Johnson | Social Worker | 860 E 4500 S, Suite 302, Salt Lake City, UT 84107-3002 | 2013-08-06 |
| 1871769711 | Stephen Proskauer | Psychiatry & Neurology | 860 E 4500 S, Suite 302, Salt Lake City, UT 84107-3002 | 2008-05-01 |
| 1376731281 | Jennifer Anderson Mcnaught | Counselor | 860 E 4500 S, Suite 302, Salt Lake City, UT 84107-3002 | 2007-10-05 |
| 1710035811 | Jemal Knowles | Counselor | 860 E 4500 S, Suite 202, Salt Lake City, UT 84107-3002 | 2007-01-08 |
| 1336151117 | Gayle Phillips, Lcsw Inc | Social Worker | 860 E 4500 S, Suite #302, Salt Lake City, UT 84107-3002 | 2006-08-12 |
| 1720007222 | Gayle Phillips | Social Worker | 860 E 4500 S, Suite #302, Salt Lake City, UT 84107-3002 | 2006-07-18 |
| 1477522894 | Christy Merrill Kobe | Social Worker | 860 E 4500 S, Ste 202, Salt Lake City, UT 84107-3002 | 2006-03-16 |
| 1356318448 | Scott Allen Wright | Social Worker | 860 E 4500 S, Salt Lake City, UT 84107-3002 | 2006-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536737 | Bradley Martin | Nurse Practitioner | 31 M St Apt 110, Salt Lake City, UT 84103-3846 | 2020-07-29 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1720433196 | Lillian Farris | Nurse Practitioner | 2180 E 4500 S Ste 125, Salt Lake City, UT 84117-4021 | 2016-05-04 |
| 1164816922 | Brittany Talbot | Nurse Practitioner | Salt Lake City Vamc, 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2015-03-19 |
| 1376959023 | Charleen Angell Aprn, Pllc | Nurse Practitioner | 145 S 400 E, Salt Lake City, UT 84111-2104 | 2014-07-02 |
| 1619390218 | Darin Ashton Principe | Nurse Practitioner | 159 W Broadway Ste 200, Salt Lake City, UT 84101-1923 | 2014-02-03 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1124237011 | Maria Christina Paegle | Nurse Practitioner | 4659 Brookwood Dr, Salt Lake City, UT 84117-4909 | 2007-05-21 |
| 1558430389 | Grace Forsythe Phd Inc | Nurse Practitioner | 2046 Murray Holladay Rd, 103, Salt Lake City, UT 84117-5125 | 2006-11-07 |
| 1639279466 | Joann M Rolando | Nurse Practitioner | George E Wahlen Department of Veterans Affairs, Medical Center Va, Salt Lake City, UT 84148-0001 | 2006-09-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
Please comment or provide details below to improve the information on MR. JEFFREY P SEAGROVE.
| 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.