REBECCA EMILY ENNEN (NPI# 1427235811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427235811 |
| Entity Type | Individual |
| Full Name | REBECCA EMILY ENNEN |
| Credential | FNP-BC |
| Practice Address |
750 Round Valley Dr Park City UT 84060 |
| Mailing Address |
750 Round Valley Dr Ste 201 Park City UT 84060-7549 |
| Practice Telephone | 6506445498 |
| Mailing Telephone | 4356497680 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11273913-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP17730 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 750 Round Valley Dr, Park City, UT 84060 | 6506445498 |
| Street Address |
750 ROUND VALLEY DR |
| City | PARK CITY |
| State | UT |
| Zip Code | 84060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700869153 | Kathy M Ostler | Pediatrics | 750 Round Valley Dr, #102, Park City, UT 84060-7548 | 2005-11-21 |
| 1639797384 | Rodolfo Steven Bonilla | Social Worker | 750 Round Valley Dr, Park City, UT 84060-7548 | 2020-07-09 |
| 1407223548 | Raymond Kent Turley Jr. | Physician Assistant | 750 Round Valley Dr, Park City, UT 84060-7548 | 2015-08-24 |
| 1669867040 | Mary Weaver Veghte | Family Medicine | 750 Round Valley Dr, Park City, UT 84060-7548 | 2015-04-01 |
| 1033474648 | Ihc Health Services Inc | Family Medicine | 750 Round Valley Dr, Park City, UT 84060-7548 | 2012-07-10 |
| 1801166830 | Katy Marie Ramsay | Pharmacist | 750 Round Valley Dr, Park City, UT 84060-7548 | 2012-01-06 |
| 1255623708 | Ihc Health Services Inc | Anesthesiology | 750 Round Valley Dr, Ste 101, Park City, UT 84060-0000 | 2011-05-03 |
| 1235421785 | Ihc Health Services Inc | Pain Medicine | 750 Round Valley Dr, Ste 101, Park City, UT 84060-0000 | 2011-05-03 |
| 1245521954 | Park City Clinic Pharmacy | Pharmacy | 750 Round Valley Dr, 203, Park City, UT 84098 | 2011-04-28 |
| 1649413212 | Alison Janine Delgado | Pediatrics | 750 Round Valley Dr, Suite 102, Park City, UT 84060-7548 | 2009-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233920 | Livecare, Inc. | Nursing Care | 1830 Prospector Avenue, Park City, UT 84060 | 2020-04-02 |
| 1063904266 | Louise Knetzger Gallagher | Acupuncturist | 1107 Woodside Ave, Park City, UT 84060 | 2018-06-04 |
| 1942753421 | Valerie Alison Mey | Dietitian, Registered | 2985 Arabian Dr, Park City, UT 84060 | 2016-08-01 |
| 1659720936 | Vibrant Health PC | Anesthesiology | 1910 Prospector Ave Suite 302, Park City, UT 84060 | 2016-06-08 |
| 1538538657 | Pamela Hilbert | Dentist | 1830 Prospector Ave., Park City, UT 84060 | 2015-09-18 |
| 1174904924 | Julie Anna Bullen | Counselor | 2300 Monitor Drive, Park City, UT 84060 | 2015-06-17 |
| 1265825319 | William Gary Smith | Obstetrics & Gynecology | 2501 Creek Drive, Park City, UT 84060 | 2015-03-13 |
| 1497026330 | Earl Warren Stadler Jr. | Physical Medicine & Rehabilitation | 1500 Three Kings Drive Unit 31, Park City, UT 84060 | 2012-01-24 |
| 1538454541 | Belinda Duncan | Pharmacist | 2700 E Deer Valley Dr B105, Park City, UT 84060 | 2011-06-17 |
| 1184888315 | Cody Michael Calderwood | Dentist | 1600 Snow Creek Dr Ste A, Park City, UT 84060 | 2008-07-16 |
| Find all providers in zip 84060 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212120 | Vanessa Elizabeth Hartley | Nurse Practitioner | 1049 Station Loop Rd, Park City, UT 84098-5426 | 2019-02-28 |
| 1972069532 | Natasha Nicolle Peterson | Nurse Practitioner | Stat Md, 1784 Uinta Way E, Park City, UT 84098 | 2019-02-19 |
| 1265854608 | Liana Teteberg | Nurse Practitioner | 120 Parkview Ter, Park City, UT 84098-5106 | 2014-01-18 |
| 1811035421 | Eva Lee Rowles | Nurse Practitioner | 750 Round Valley Dr Ste 101, Park City, UT 84060-7549 | 2007-02-03 |
| 1023018017 | Marilyn Jean Klein | Nurse Practitioner | 1670 Bonanza Dr, Park City, UT 84060-7205 | 2005-07-30 |
| 1730189374 | Corey Cutler | Nurse Practitioner | 1753 Sidewinder Dr, Park City, UT 84060-7322 | 2005-07-26 |
| 1891303202 | Alexa Nicole Aubin | Nurse Practitioner | 1784 Uinta Way Unit E2, Park City, UT 84098-7685 | 2020-07-21 |
| 1053965509 | Beth Silvero | Nurse Practitioner | 650 Round Valley Dr, Park City, UT 84060 | 2019-08-01 |
| 1255992723 | Renel B Rytting | Nurse Practitioner | 1600 Snow Creek Dr, Park City, UT 84060-7372 | 2019-06-25 |
| 1003476904 | Kristi D Unruh | Nurse Practitioner | 1755 E 61st St N, Park City, KS 67219-1917 | 2019-06-13 |
| Find all providers in PARK CITY | ||||
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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.