MS. OLIVIA FISHER WALTON


Address: 500 Foothill Blvd, Mail Code 112, Salt Lake City, UT 84148-0001
Phone: 8015821565

MS. OLIVIA FISHER WALTON (NPI# 1366556003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366556003
Entity Type Individual
Full Name MS. OLIVIA FISHER WALTON
Credential PA
Practice Address 500 Foothill Blvd
Mail Code 112
Salt Lake City
UT 84148-0001
Mailing Address 346 Pierpont Ave # 117
Salt Lake City
UT 84101-1799
Practice Telephone 8015821565
Practice Fax Number 8015842587
Mailing Telephone 8015821565
Mailing Fax Number 8015842587
Enumeration Date 2006-08-19
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
4767014-1206 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 500 FOOTHILL BLVD
MAIL CODE 112
City SALT LAKE CITY
State UT
Zip Code 84148-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376547646 Terri Evans Pharmacist 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2005-06-02
1841818325 Abigale Briscoe Pharmacist 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2020-07-10
1053947804 Channing Jovi Cochran Psychologist 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2020-03-12
1972138337 Ryan Scott Registered Nurse 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2020-03-05
1932756319 Christine Rosner Psychologist 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2019-08-21
1770137994 Courtney Sedillo Nurse Practitioner 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2019-07-25
1942866991 Erika Jill Smith Dietitian, Registered 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2019-05-15
1629548854 Nicole Legarreta Social Worker 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2018-11-30
1780159269 Jill Henningfeld Nurse Practitioner 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2018-10-10
1275010035 Leigh-andrew Thomas Sampson-seitz Registered Nurse 500 Foothill Blvd, Salt Lake City, UT 84148 2018-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598211799 Jacquelyn Rae Contant Dietitian, Registered 500 Foothill Dr. (120), Salt Lake City, UT 84148 2016-08-28
1699127811 Taylor Alford Pharmacist 500 Foothills Drive, Salt Lake City, UT 84148 2016-07-12
1356792162 Sarah Hummel Genetic Counselor, MS 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 2016-06-23
1174936140 Elizabeth Shade Cardenas Nurse Practitioner 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 2014-06-08
1386904043 David Earl Moore Specialist 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 2012-05-29
1790059038 Deborah Ernstein Holley Hartzfeld Genetic Counselor, MS 615 Arapeen Drive #212, Salt Lake City, UT 84148 2012-03-05
1073823720 Diana Lynn Robbins Social Worker 9140 W. Post Road, Las Vegas, NV 84148 2010-10-15
1659534394 Katherine Margaret Dunn Genetic Counselor, MS 500 Foothill Drive (151z), Salt Lake City, UT 84148 2008-07-02
1730381625 Douglas James Ball Medical Genetics Va Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148 2007-06-03
1245339530 Daniel H Priestly Radiology 500 Foothill Dr., Salt Lake City, UT 84148 2006-09-22
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134748080 Shannon Dhungel Physician Assistant 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 2020-04-10
1528533825 Ryan Mclean Walsh Physician Assistant 1454 University Vlg, Salt Lake City, UT 84108-3518 2018-10-12
1033627351 Linda Richards Lewis Physician Assistant 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 2018-01-22
1972036242 Jace Meng Physician Assistant 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 2017-04-04
1710372784 Sarah Beth Wills Physician Assistant 500 Foot Drive, Salt Lake City, UT 84148-4004 2015-04-06
1821323742 Sara Diane Feltz Physician Assistant 615 Arapeen Drive, Suite 100, Salt Lake City, UT 84108 2009-10-09
1457597809 Wesley Messer Norwood Physician Assistant 150 S 1000 E Ste 200, Salt Lake City, UT 84102-1496 2009-01-06
1235146937 Kara Alexander-agresta Physician Assistant 3838 S 700 E Utah Cancer Specialist-cancer Ctr, Suite 100, Salt Lake City, UT 84106 2006-08-02
1669459301 Steven Eugene Nickman Physician Assistant 8th Avenue & C Street, Lds Hospital E8/ibmt Program, Salt Lake City, UT 84143 2005-12-23
1912515230 Lesly Pineda Physician Assistant 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 2020-07-22
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Competitor

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City SALT LAKE CITY
Zip Code 84148

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Dataset Information

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.

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