CONNIE TETEBERG (NPI# 1801858923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801858923 |
| Entity Type | Individual |
| Full Name | CONNIE TETEBERG |
| Credential | PA |
| Practice Address |
3460 Pioneer Pkwy West Valley City UT 84120-2049 |
| Mailing Address |
370 E South Temple Ste 260 Salt Lake City UT 84111-1206 |
| Practice Telephone | 8019643100 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5153573-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3460 PIONEER PKWY |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84120-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366440620 | Jordan Valley Medical Center Lp | General Acute Care Hospital | 3460 Pioneer Pkwy, West Valley City, UT 84120-2049 | 2005-07-11 |
| 1396036695 | Jordan Valley Medical Center Lp | Psychiatric Unit | 3460 Pioneer Pkwy, West Valley City, UT 84120-2049 | 2011-04-21 |
| 1790927044 | Md Rasmussen, PC | Nurse Anesthetist, Certified Registered | 3460 Pioneer Pkwy, West Valley City, UT 84120-2049 | 2009-04-01 |
| 1427251479 | Promise Hospital Slc Inc Grp | Clinic/Center | 3460 Pioneer Pkwy, West Valley City, UT 84120-2049 | 2007-06-07 |
| 1417158965 | Heather Lynn Curry | Occupational Therapist | 3460 Pioneer Pkwy, West Valley City, UT 84120-2049 | 2007-05-31 |
| 1295819621 | Trenten Don Thorn | Emergency Medicine | 3460 Pioneer Pkwy, West Valley City, UT 84120 | 2006-10-24 |
| 1295831329 | Adrain Wc Yee | Anesthesiology | 3460 Pioneer Pkwy, West Valley City, UT 84120-2049 | 2006-09-16 |
| 1174628978 | Sudha B Shah | Anesthesiology | 3460 Pioneer Pkwy, West Valley City, UT 84120-2049 | 2006-09-14 |
| 1215032081 | Sharon L Stewart | Nurse Anesthetist, Certified Registered | 3460 Pioneer Pkwy, West Valley City, UT 84120-2049 | 2006-09-14 |
| 1609981869 | Lorrie Belcher | Nurse Anesthetist, Certified Registered | 3460 Pioneer Pkwy, West Valley City, UT 84120-2049 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508421280 | Antwain Alexander | Physician Assistant | 3505 W El Cabrio Dr, West Valley City, UT 84119-6710 | 2019-05-07 |
| 1689948176 | Allyson Eggertz Sorensen | Physician Assistant | 3730 West 4700 South, West Valley City, UT 84129-3457 | 2012-02-29 |
| 1750650586 | Erika Kristen Tse | Physician Assistant | 4052 Pioneer Pkwy Ste 205, West Valley City, UT 84120-2063 | 2011-12-23 |
| 1184623829 | Greg F Powell | Physician Assistant | 4052 W Pioneer Pkwy, Ste 208, West Valley City, UT 84120 | 2005-07-15 |
| 1730655994 | Devin Earl Timothy | Physician Assistant | 3336 S Pioneer Pkwy, West Valley City, UT 84120-2000 | 2018-10-15 |
| 1679087399 | Ahmad Khalid Saeed | Physician Assistant | 3336 S Pioneer Pkwy Ste 201, West Valley City, UT 84120-2085 | 2017-11-17 |
| 1871934489 | Matthew Robert Nimer | Physician Assistant | 1525 W 2100 S, West Valley City, UT 84119-1401 | 2013-07-11 |
| 1386984987 | Alexandra Fine | Physician Assistant | 3451 S 5600 W, Suite F, West Valley City, UT 84120-1301 | 2013-02-20 |
| 1912270497 | Valerie K Oquendo | Physician Assistant | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2012-02-14 |
| 1053627737 | Natalie Evans Dahle | Physician Assistant | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2010-08-19 |
| Find all providers in WEST VALLEY CITY | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84120 |
Please comment or provide details below to improve the information on CONNIE TETEBERG.
| 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.