JESSICA DAVIS (NPI# 1780980532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780980532 |
| Entity Type | Individual |
| Full Name | JESSICA DAVIS |
| Other Name | JESSICA KRIMMEL |
| Credential | M.D. |
| Practice Address |
1273 E Bryan Ave Salt Lake City UT 84105-2509 |
| Practice Telephone | 8013661884 |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2014-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 373482-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780216861 | Jessica Nichole Davis | Physical Therapist | 1413 W Broadway Ave, Maryville, TN 37801-3121 | 2020-02-06 |
| 1629534367 | Jessica Davis | Homemaker | 307 N Georgia Ave # 307, Cocoa, FL 32922-6222 | 2019-02-19 |
| 1265906549 | Jessica Alexis Davis | Behavioral Analyst | 210 Talsrock Way Ste 3, Cary, NC 27519-1906 | 2019-01-19 |
| 1346758430 | Jessica Nicole Davis | Student in an Organized Health Care Education/Training Program | 2300 8th Ave S Apt 448, Nashville, TN 37204-2475 | 2018-01-11 |
| 1346768272 | Jessica Amiee Davis | Doula | 5805 E 40th Ter, Kansas City, MO 64129-1713 | 2017-08-30 |
| 1154845782 | Jessica Lynn Davis | Social Worker | 530 Beacon Pkwy W Ste 401, Birmingham, AL 35209-3196 | 2017-07-26 |
| 1699213769 | Jessica Davis | Nutritionist | 9404 Mayflower Ct, Laurel, MD 20723-1747 | 2017-02-08 |
| 1922543891 | Jessica Davis | Licensed Practical Nurse | 1111 Oakhill St, Seffner, FL 33584-4513 | 2016-12-30 |
| 1427506054 | Jessica Davis | Nurse Practitioner | 1824 Dimond Dr, Anchorage, AK 99507-1308 | 2016-09-12 |
| 1033584636 | Jessica Renee Davis | Social Worker | 314 N Front St, Apt A Second Floor, Wormleysburg, PA 17043-1112 | 2015-12-08 |
| Street Address |
1273 E BRYAN AVE |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84105-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106237 | Laiyan H Bawadeen | Counselor | 1425 700 E Suite #102, Salt Lake City, UT 84105 | 2018-12-31 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1083089643 | Celisa Packer | Social Worker | 2020 E Lake St, Salt Lake City, UT 84105 | 2015-12-08 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1649548355 | Leland Burt Cowan | Surgery | 1405 Princeton Ave, Salt Lake City, UT 84105 | 2011-12-08 |
| 1639460355 | Sally Cathleen Webster | Counselor | 1248 Yale Avenue, Salt Lake City, UT 84105 | 2011-04-28 |
| 1912205105 | Melissa Wilson | Case Manager/Care Coordinator | 1522 S 1100 E, Salt Lake City, UT 84105 | 2011-03-11 |
| 1013215789 | Tamara Marie Wright | Counselor | 1996 Lake St, Salt Lake City, UT 84105 | 2011-03-04 |
| 1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
| 1508011180 | Keith Elliott | Anesthesiology | 1552 South 1000 East, Salt Lake City, UT 84105 | 2008-11-24 |
| Find all providers in zip 84105 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414216 | True North Health Navigation LLC | Emergency Medicine | 136 E South Temple Ste 1400, Salt Lake City, UT 84111-1143 | 2020-03-30 |
| 1609377589 | David A. Burton | Emergency Medicine | 1040 S Oak Hills Way, Salt Lake City, UT 84108-2024 | 2018-02-26 |
| 1184131922 | Wally Lee | Emergency Medicine | 3539 E Brighton Point Dr, Salt Lake City, UT 84121-5510 | 2018-01-02 |
| 1295240026 | Allison Mcphee | Emergency Medicine | 1021 E 3300 S, Salt Lake City, UT 84106-2142 | 2017-12-01 |
| 1104351592 | David Crockett | Emergency Medicine | University of Utah School of Medicine 30 N 1900 E 1c026, Salt Lake City, UT 84132-2147 | 2017-04-24 |
| 1699160598 | Sean Damian Slack | Emergency Medicine | Division of Emergency Medicine School Of, 30 N 1900 E 1c026, Salt Lake City, UT 84132-0001 | 2015-03-30 |
| 1801201496 | Dwight Burdick | Emergency Medicine | 2665 E 2100 S, Salt Lake City, UT 84109-1372 | 2014-06-23 |
| 1467872358 | Anna Rudolphi | Emergency Medicine | 30 N 1900 E 1c026, Division of Emergency Medicine- University of Utah, Salt Lake City, UT 84132 | 2014-04-18 |
| 1598004087 | Alison L Smith | Emergency Medicine | 764 E Hawthorne Ave, Salt Lake City, UT 84102 | 2013-02-04 |
| 1205195229 | Brian Galovic | Emergency Medicine | University of Utah Hospital Emergency, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2012-05-11 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84105 |
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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.