MARTHA FERN SOUTHWICK (NPI# 1568685550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568685550 |
| Entity Type | Individual |
| Full Name | MARTHA FERN SOUTHWICK |
| Credential | NP |
| Practice Address |
8541 S Redwood Rd Ste C2 West Jordan UT 84088 |
| Mailing Address |
1947 Kate Cv West Jordan UT 84088-6631 |
| Practice Telephone | 8014327712 |
| Practice Fax Number | 8668171629 |
| Mailing Telephone | 8015612280 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2000204405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1017129 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 677 W 5300 S, Murray, UT 841235671 | 8013278700 | 8012902847 |
| Street Address |
8541 S REDWOOD RD STE C2 |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346732765 | Mindful Healing LLC | Nurse Practitioner | 8541 S Redwood Rd Ste C2, West Jordan, UT 84088 | 2018-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
| 1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
| 1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
| 1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
| Find all providers in zip 84088 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295256543 | Jenny Louise Mckay | Nurse Practitioner | 7478 S Campus View Dr Ste 100, West Jordan, UT 84084-1968 | 2017-06-27 |
| 1821448226 | Lora Lynn Galloway | Nurse Practitioner | 7818 S Redwood Rd, West Jordan, UT 84088-4002 | 2016-06-16 |
| 1215376587 | Carlos A Vasquez | Nurse Practitioner | 6248 S Clernates Dr, West Jordan, UT 84081-3831 | 2013-06-20 |
| 1548557622 | Haley B Nelson | Nurse Practitioner | 7353 S 2172 W, West Jordan, UT 84084-3248 | 2011-07-08 |
| 1578883963 | Gerald Wayne Dearing | Nurse Practitioner | 2822 W 8750 S, West Jordan, UT 84088-9605 | 2010-06-08 |
| 1588823132 | Roberta Francis Anderson | Nurse Practitioner | 3065 W 8600 S, West Jordan, UT 84088-9626 | 2008-06-08 |
| 1780875435 | Randal B. Austin | Nurse Practitioner | 1561 W 7000 S Ste 200, West Jordan, UT 84084-3556 | 2007-08-07 |
| 1760697106 | Linda Renne Hensley | Nurse Practitioner | 1488 W Brigeport Way, West Jordan, UT 84084 | 2007-05-11 |
| 1316017627 | Jololene Allan | Nurse Practitioner | 8785 S Jordan Valley Way # 100, West Jordan, UT 84088-9772 | 2006-11-08 |
| 1619900339 | Donald R Hastie | Nurse Practitioner | 7611 Jordan Landing Blvd, 200, West Jordan, UT 84084-5610 | 2006-07-08 |
| Find all providers in WEST JORDAN | ||||
| City | WEST JORDAN |
| Zip Code | 84088 |
Please comment or provide details below to improve the information on MARTHA FERN SOUTHWICK.
| 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.