KELLI DRU WEBSTER (NPI# 1770194979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770194979 |
| Entity Type | Individual |
| Full Name | KELLI DRU WEBSTER |
| Credential | NP-C |
| Practice Address |
500 Foothill Dr Slc UT 84148-0001 |
| Mailing Address |
1248 E Yale Ave Salt Lake City UT 84105-1517 |
| Practice Telephone | 8015821565 |
| Mailing Telephone | 8015996146 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9798338-4409 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 FOOTHILL DR |
| City | SLC |
| State | UT |
| Zip Code | 84148-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144714296 | Jeremy Anderson | Student in an Organized Health Care Education/Training Program | 500 Foothill Dr, Slc, UT 84148-0001 | 2018-06-20 |
| 1245737543 | Janine Rene Pawlikowski | Case Manager/Care Coordinator | 500 Foothill Dr, Slc, UT 84148-0001 | 2018-04-12 |
| 1841517299 | Candice M Daniel | Psychologist | 500 Foothill Dr, Slc, UT 84148-0001 | 2010-04-26 |
| 1073750279 | Tracy Herrmann | Dietitian, Registered | 500 Foothill Dr, Slc, UT 84148-0001 | 2009-01-10 |
| 1306099007 | Tanya Michelle Miller | Psychologist | 500 Foothill Dr, Slc, UT 84148-0001 | 2008-10-28 |
| 1043384472 | Breana Celeste Pritchard | Social Worker | 500 Foothill Dr, Slc, UT 84148-0001 | 2006-11-18 |
| 1447272323 | Richard Sun Kyu Kwan Rose | Internal Medicine | 500 Foothill Dr, Slc, UT 84148-0001 | 2006-07-23 |
| 1770519167 | Mona Lea Ladue | Social Worker | 500 Foothill Dr, V Alor House, Slc, UT 84148-0001 | 2006-06-25 |
| 1205878964 | Vera Helene Draper | Audiologist | 500 Foothill Dr, Slc, UT 84148-0001 | 2006-06-10 |
| 1447247648 | J Todd Baker | Nurse Anesthetist, Certified Registered | 500 Foothill Dr, Slc, UT 84148-0001 | 2005-10-03 |
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| 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 Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942860481 | Robin Morgan | Nurse Practitioner | Lds Hospital 8th Ave & C Street, Slc, UT 84143-0001 | 2019-06-17 |
| 1659520807 | Treasure Ashleigh Morgan | Nurse Practitioner | 1010 E 2100 S, Suite B, Slc, UT 84106-3590 | 2008-09-11 |
| 1952596827 | Alisa A Seeberger | Nurse Practitioner | 1548 E 4500 S Ste 202, Slc, UT 84117-5209 | 2007-09-12 |
| 1992922520 | Kathy Marie Parry | Nurse Practitioner | Slc Va, 500 Foothill Dr, Slc, UT 84148-0001 | 2007-04-18 |
| 1770631079 | Linda Young Lewis | Nurse Practitioner | 100 N Medical Dr Ste 3400, Slc, UT 84113-1103 | 2007-01-05 |
| 1356366181 | Julianne Fallentine | Nurse Practitioner | 855 California Ave, Slc, UT 84104-1632 | 2006-07-13 |
| 1952929895 | Caren D Erekson | Nurse Practitioner | 4624 S Holladay Blvd Ste 201, Slc, UT 84117-7168 | 2020-07-07 |
| 1124674460 | Kimberly Kae Weggemann Holder | Nurse Practitioner | 3018 E 3300 S, Slc, UT 84109-2144 | 2019-08-13 |
| 1598326084 | Nicole Ashley Lynch | Nurse Practitioner | 615 S Arapeen Dr Ste 100, Slc, UT 84108-1239 | 2019-06-25 |
| 1265916639 | Grace-mae Cachero Genitiano Kelly | Nurse Practitioner | 4460 S Highland Dr, Slc, UT 84124-3543 | 2018-09-20 |
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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.