JACQUELINE ANN NELSON (NPI# 1760978803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760978803 |
| Entity Type | Individual |
| Full Name | JACQUELINE ANN NELSON |
| Credential | DDS |
| Practice Address |
100 N Mario Capecchi Dr Salt Lake City UT 84113-1103 |
| Mailing Address |
4523 E White Dove Ave Orange CA 92869-1939 |
| Practice Telephone | 8016623900 |
| Mailing Telephone | 6024515537 |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2018-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10867262-9922 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265087324 | Jacqueline Marcie Nelson | Nurse Practitioner | 8671 S Quebec St Ste 200, Highlands Ranch, CO 80130-5861 | 2019-08-06 |
| 1336630235 | Jacqueline Rose Nelson | Counselor | 222 W Mission Ave Ste 122, Spokane, WA 99201-2345 | 2018-05-25 |
| 1962873125 | Jacqueline Nelson | Counselor | 2323 Timber Shadows Dr, Suite B, Kingwood, TX 77339-2028 | 2015-10-14 |
| 1467820787 | Jacqueline Nelson | Social Worker | 9343 Tech Center Dr Ste 200, Sacramento, CA 95826-2592 | 2015-09-02 |
| 1417264748 | Jacqueline Nelson | Speech-Language Pathologist | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2010-09-08 |
| 1750586772 | Jacqueline D Nelson | Physician Assistant | 820 5th St N, Carrington, ND 58421 | 2007-06-19 |
| 1548333206 | Jacqueline Lee Nelson | Pediatrics | 29 Black Coal Dr, Fort Washakie, WY 82514-0128 | 2006-11-17 |
| 1326029356 | Jacqueline J Nelson | Nurse Anesthetist, Certified Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-11-08 |
| Street Address |
100 N MARIO CAPECCHI DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84113-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750346607 | Paul Krakovitz | Otolaryngology | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2006-04-20 |
| 1417565839 | Gabriel Dunya | Student in an Organized Health Care Education/Training Program | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-07-22 |
| 1588281000 | Alexandra Almberg | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-06-30 |
| 1538781224 | Adam Hine | Dentist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-05-15 |
| 1790306488 | Leslie Goltra | Pharmacist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-05-04 |
| 1194345512 | Perry Alana Chapman | Dietitian, Registered | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-04-26 |
| 1437779410 | Sandra Benson Johnson | Registered Nurse | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-04-20 |
| 1720608078 | Alison Mae Armstrong | Student in an Organized Health Care Education/Training Program | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-04-16 |
| 1295354850 | Katie Lynn Lahue | Music Therapist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-04-14 |
| 1790314144 | Danielle Armstrong | Registered Nurse | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
| 1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
| 1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
| 1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
| Find all providers in zip 84113 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335404 | Ida Nourbakhsh | Dentist | 1947 E Redondo Ave, Salt Lake City, UT 84108-3119 | 2020-10-27 |
| 1538796818 | Andrew Phillips | Dentist | 2070 S View St Apt 113, Salt Lake City, UT 84105-3766 | 2020-03-25 |
| 1710450655 | Kelly D. Carroll D.d.s., PC | Dentist | 2114 E Fort Union Blvd, Salt Lake City, UT 84121-3142 | 2019-01-03 |
| 1730667031 | Hm Salt Lake | Dentist | 7138 S Highland Dr Ste 214, Salt Lake City, UT 84121-3783 | 2018-07-30 |
| 1316430721 | Kyle Perkins | Dentist | 268 W 400 S, Salt Lake City, UT 84101-1831 | 2018-06-11 |
| 1730634353 | Kyle J Baldwin | Dentist | 4046 S Highland Dr, Ste #113, Salt Lake City, UT 84124-1673 | 2016-08-24 |
| 1780047670 | Dane Parke Mullinax | Dentist | 831 S 700 E, Salt Lake City, UT 84102-3505 | 2016-03-30 |
| 1396105425 | Michael Lee Vanleeuwen | Dentist | 6936 S Promenade Dr Ste 201, Salt Lake City, UT 84121-3365 | 2016-03-02 |
| 1831555168 | Smile Dental Studio PC | Dentist | 1400 S Foothill Dr, Ste #36, Salt Lake City, UT 84108-2392 | 2015-12-31 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84113 |
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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.