KIMBERLY DAWN MEGWALU (NPI# 1356508857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356508857 |
Entity Type | Individual |
Full Name | KIMBERLY DAWN MEGWALU |
Other Name | KIMBERLY DAWN MATHEWS |
Credential | APRN |
Practice Address |
5250 S 320 W Suite 305 Murray UT 84107-7926 |
Practice Telephone | 8012627246 |
Practice Fax Number | 8012623696 |
Mailing Telephone | 8012627246 |
Mailing Fax Number | 8012623696 |
Enumeration Date | 2008-05-21 |
Last Update Date | 2008-05-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
6697216-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5250 S 320 W SUITE 305 |
City | MURRAY |
State | UT |
Zip Code | 84107-7926 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841491529 | Katrina Lewis | Anesthesiology | 5250 S 320 W, Suite 305, Murray, UT 84107-7926 | 2007-05-30 |
1548579147 | Erik Peter Sivertsen | Physician Assistant | 5250 S 320 W, Atrium Bldg, Ste 305, Murray, UT 84107-7926 | 2010-09-29 |
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 | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609104553 | Denise Westover | Nurse Practitioner | 5169 S. Cottonwood St, Ste. 520, Murray, UT 84107 | 2009-12-03 |
1568457398 | Jennie Kaye Bourne | Nurse Practitioner | 300 S 8th St Ste 401e, Murray, KY 42071 | 2005-09-19 |
1568976579 | Andrew James Aloia | Nurse Practitioner | 5131 S Cottonwood St, Murray, UT 84107-5701 | 2017-11-29 |
1184148447 | Karyn Peirce | Nurse Practitioner | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2017-07-28 |
1932513702 | Stephanie Nason | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2014-06-19 |
1700110103 | Kathleen Farrell | Nurse Practitioner | 1005 Poplar St, Murray, KY 42071-2436 | 2009-10-01 |
1164698312 | Christopher Michael Poch | Nurse Practitioner | 5121 South Cottonwood Drive, Murray, UT 84157 | 2008-05-07 |
1992828958 | Kayleen Terry | Nurse Practitioner | 5323 Woodrow St, Ste 102, Murray, UT 84107-5841 | 2007-04-06 |
1801942255 | Virginia Grider | Nurse Practitioner | 310 N 4th St, Murray, KY 42071-2002 | 2007-01-26 |
1568538528 | Roberta Ann Lucas | Nurse Practitioner | 835 E 4800 S, Murray, UT 84107-5040 | 2006-11-28 |
Find all providers in MURRAY |
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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.