MS. STACEY KAY SHAFFER


Address: 500 Foothill Dr, Salt Lake City, UT 84148-0001
Phone: 8015821565

MS. STACEY KAY SHAFFER (NPI# 1669404414) 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) 1669404414
Entity Type Individual
Full Name MS. STACEY KAY SHAFFER
Credential APRN
Practice Address 500 Foothill Dr
Salt Lake City
UT 84148-0001
Mailing Address 2554 Grand Point Cir
Sandy
UT 84092-3440
Practice Telephone 8015821565
Mailing Telephone 8015821565
Enumeration Date 2006-07-06
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 363LA2200X Nurse Practitioner
Specialization: Adult Health
223232-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Other Providers STACEY SHAFFER

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1871191841 Stacey Shaffer Speech-Language Pathologist 2413 Golden Willow Ln, Richardson, TX 75082-4225 2020-10-13
1083922264 Stacey Elaine Shaffer Pharmacist 331 Penn Ave, Pittsburgh, PA 15221-2133 2010-09-21
1326263880 Stacey L Shaffer Internal Medicine 3471 5th Ave, 500 Kaufmann Medical Building, Pittsburgh, PA 15213-3215 2007-04-17

Office Location

Street Address 500 FOOTHILL DR
City SALT LAKE CITY
State UT
Zip Code 84148-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700889011 Anthony W Middleton Jr. Specialist 500 Foothill Dr, Surgery (urology), Salt Lake City, UT 84148-0001 2005-05-31
1376150953 Annette Sprankle Pharmacist 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-09-28
1912512559 Taylor Nicole Schweitzer Speech-Language Pathologist 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-09-10
1134733421 Cord Speck Nurse Practitioner 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-09-03
1023621232 Thomas Alan Good Lance White Bull Pharmacy Technician 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-26
1376155606 Cassie Dance Psychologist 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-18
1255943734 Julia Ann Packard Registered Nurse 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-17
1558972729 Kathleen Sarette Nurse Practitioner 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-12
1154931723 Peter Jerome Torcivia Student in an Organized Health Care Education/Training Program 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-07
1184234262 Rebecca E Montgomery Student in an Organized Health Care Education/Training Program 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-04
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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
Find all providers in zip 84148

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174936140 Elizabeth Shade Cardenas Nurse Practitioner 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 2014-06-08
1366737579 Matrix Medical Network of Utah,llc Nurse Practitioner 2150 S 1300 E Ste 500, Salt Lake City, UT 84106-4375 2011-06-15
1265612097 Solo Clinical Services LLC Nurse Practitioner 1864 Downington Ave, Salt Lake City, UT 84108-2912 2007-11-09
1730201245 William Andrew Schwarz II Nurse Practitioner 4701 W 2100 S Bldg 3, C/o Cr England and Lakeside Medical Clinic, Salt Lake City, UT 84120-1223 2007-04-04
1700929338 Cristine Tuttle Nurse Practitioner 375 Chipeta Way Suita A200, University of Utah Hospitals and Clinics, Sleep Center, Salt Lake City, UT 84108-0001 2007-02-14
1972650836 Valerie Jean Flattes Nurse Practitioner Npha 4568 S Highland Drive, #290, Salt Lake City, UT 84117 2007-01-04
1184717878 Kathleen Hooten Nurse Practitioner 555 Foothill Dr Rm 301, Salt Lake City, UT 84112-1106 2006-10-02
1841225372 Janet E Tulloch Nurse Practitioner Va Slc Health Care Sytem 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2006-07-12
1770556946 Jane Elizabeth Bell Nurse Practitioner George E Whalen Va Med Center (111p), 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2006-02-08
1639796477 Lacey A Cooper Nurse Practitioner 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-06-27
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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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