STEPHANIE G MISHENKO


Address: 344e 100s, Slc, UT 84111
Phone: 8013223222

STEPHANIE G MISHENKO (NPI# 1790396554) 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) 1790396554
Entity Type Individual
Full Name STEPHANIE G MISHENKO
Practice Address 344e 100s
Slc
UT 84111
Practice Telephone 8013223222
Mailing Telephone 8013223222
Enumeration Date 2020-08-13
Last Update Date 2020-08-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider UT Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
UT 17100000X 05

Office Location

Street Address 344E 100S
City SLC
State UT
Zip Code 84111

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316551336 Mary Ann Rush Case Manager/Care Coordinator 334 E. 100 S., Slc, UT 84111 2020-09-08
1386264802 Mckensee M Carter Case Manager/Care Coordinator 334 E 100 S, Salt Lake City, UT 84111 2020-04-24
1316421761 Community Health Centers, Inc. Social Worker 610 S 200 E Ste #b, Salt Lake City, UT 84111 2018-09-21
1528545506 Lauren Brittney Harman Case Manager/Care Coordinator 344 E. 100 S., Salt Lake City, UT 84111 2018-07-23
1851896484 Shivani Chowdhary Dentist 370 E South Temple Ste 350, Salt Lake City, UT 84111 2018-03-26
1801390661 Jaylee Marie Watman Case Manager/Care Coordinator 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 2018-03-19
1467963918 Victoira Julia Graham Case Management 344 East 100 South Ste 301, Salt Lake City, UT 84111 2017-10-23
1750805404 Kayla Hymas Behavioral Analyst 243 E. 400 S., Slc, UT 84111 2017-08-02
1134643224 Julie Peaslee Counselor 275 E South Temple Ste 110, Salt Lake City, UT 84111 2017-07-31
1891236378 Kayla Budge Behavior Technician 243e 400s #300, Salt Lake City, UT 84111 2017-03-16
Find all providers in zip 84111

Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679174346 Cordalynn Fell Military Health Care Provider 4431 S Honeywood Ln, West Valley City, UT 84120-5845 2020-11-07
1811151145 Aaron A See Military Health Care Provider 793 E Grand Cayman Dr, Salt Lake City, UT 84107-3600 2008-07-16
1497362677 Chelsey L Anderson Military Health Care Provider 344 E 100 S, Salt Lake City, UT 84111-1700 2020-09-30

Competitor

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City SLC
Zip Code 84111

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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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