KATIE NICHOLLS (NPI# 1851866735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851866735 |
| Entity Type | Individual |
| Full Name | KATIE NICHOLLS |
| Credential | PA-C |
| Practice Address |
4745 S 3200 W Taylorsville UT 84129 |
| Mailing Address |
2621 S 3270 W West Valley City UT 84119-1119 |
| Practice Telephone | 8019646214 |
| Practice Fax Number | 8017460420 |
| Mailing Telephone | 3852612737 |
| Mailing Fax Number | 8017460420 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10970425-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22 S State St # 1007, Clearfield, UT 840151043 | 8013935355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568942118 | Katie Lynn Nicholls | Pharmacist | 4700 N Hanley Rd, Saint Louis, MO 63134-2700 | 2018-08-14 |
| Street Address |
4745 S 3200 W |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942823448 | Cherish Dunshee | Dentist | 4745 S 3200 W, Taylorsville, UT 84129-2822 | 2020-05-19 |
| 1336775832 | Paola Escobedo-delgado | Social Worker | 4745 S 3200 W, Taylorsville, UT 84129-2822 | 2020-03-16 |
| 1932563418 | Hannah L Stillings | Family Medicine | 4745 S 3200 W, Taylorsville, UT 84129-2822 | 2016-04-11 |
| 1316320419 | Tania Castrellon | Registered Nurse | 4745 S 3200 W, Taylorsville, UT 84129-2822 | 2015-07-07 |
| 1255736435 | Dalyn Heather Steed | Physician Assistant | 4745 S 3200 W, Taylorsville, UT 84129-2822 | 2014-10-29 |
| 1710388160 | Benjamin Smith Haymond | Physician Assistant | 4745 S 3200 W, Taylorsville, UT 84129-2822 | 2014-09-04 |
| 1265865125 | Jessica Petrovich | Family Medicine | 4745 S 3200 W, Taylorsville, UT 84129-2822 | 2013-08-14 |
| 1710319298 | Lauren Ashley Wells | Dentist | 4745 S 3200 W, Taylorsville, UT 84129-2822 | 2013-08-06 |
| 1912258278 | Jasmin Elizabeth Charles | Physician Assistant | 4745 S 3200 W, Taylorsville, UT 84129-2822 | 2012-09-26 |
| 1689933707 | Ryan Wade Jones | Dentist | 4745 S 3200 W, Taylorsville, UT 84129-2822 | 2012-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891140331 | Caring for Kearns | Social Worker | 5525 S 4015 W, Suite #207 A & B, Taylorsville, UT 84129 | 2016-05-03 |
| 1386014116 | Rusty Scott Burns | Physician Assistant | 4745 South 3200 West, Oquirrh View Clinic, Taylorsville, UT 84129 | 2015-10-06 |
| 1013398817 | Clifford Simpson | Counselor | 4897 S Avant Cir, Taylorsville, UT 84129 | 2015-06-17 |
| 1912328576 | Heather Jenkins | Substance Abuse Rehabilitation Facility | 6200 South 3809 West, Kearns, UT 84129 | 2013-12-30 |
| 1184981201 | Intermountain Community Supports and Services, LLC | In Home Supportive Care | 5104 Heritage Cove, Taylorsville, UT 84129 | 2012-04-13 |
| 1093039521 | Chad Alan Spain | Family Medicine | 3745 West 4700 South, Family Practice, Taylorsville, UT 84129 | 2010-03-26 |
| 1396068342 | Lindsay Helena Wilson | Dermatology | 3845 West 4700 South, Intermountain Healthcare Taylorsville Clinic, Taylorsville, UT 84129 | 2010-03-04 |
| 1962962407 | Craig J Campbell Dpm PC | Durable Medical Equipment & Medical Supplies | 5255 S 4015 W, #140, Salt Lake City, UT 84129 | 2019-03-21 |
| 1962829374 | Spencer Tingey | Family Medicine | 3730 W 4700 S, Taylorsville, UT 84129 | 2014-03-24 |
| 1073954996 | Alexander Maxwell Dahmen | Social Worker | 1760 West 4805 South, Taylorsville, UT 84129 | 2013-07-08 |
| Find all providers in zip 84129 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841379930 | David Charles Baker | Physician Assistant | 633 Old Landfill Rd, Taylorsville, NC 28681-8420 | 2006-11-02 |
| 1477569952 | Sarah C Chapman | Physician Assistant | 97 Church St, Taylorsville, GA 30178-1902 | 2006-08-01 |
| 1275559148 | Deseret Medical Clinic | Physician Assistant | 3856 W 5400 S, Suite 200, Taylorsville, UT 84118-3579 | 2006-07-14 |
| 1255736435 | Dalyn Heather Steed | Physician Assistant | 4745 S 3200 W, Taylorsville, UT 84129-2822 | 2014-10-29 |
| 1235326588 | Melissa Thomas | Physician Assistant | 870 Taylorsville Road, Taylorsville, KY 40071 | 2007-10-01 |
| 1205993607 | Sabrina L. Steele | Physician Assistant | 6321 S Redwood Rd, Suite 201, Taylorsville, UT 84123-6798 | 2007-01-03 |
| 1437176229 | Heath M Scott | Physician Assistant | 3856 W 5400 S, Taylorsville, UT 84118-3579 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
| 1437702875 | Jennica Marie Van Blerkom | Physician Assistant | 4755 S Wallace Ln, Holladay, UT 84117-6458 | 2019-07-23 |
| 1124599873 | Tcfh Lc | Physician Assistant | 9777 N 5520 W, Highland, UT 84003-9130 | 2018-12-06 |
| 1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
| 1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
| 1215446919 | Richard L Mittan | Physician Assistant | 65 E 6850 S, Midvale, UT 84047-1215 | 2017-09-25 |
| 1710416649 | Brian Adams | Physician Assistant | 1308 E 900 S # C, St George, UT 84790-8520 | 2017-06-05 |
| 1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
| 1396289799 | Jefferson M Allen | Physician Assistant | 356 W 840 S, Orem, UT 84058-6778 | 2016-12-05 |
| 1609324151 | Colby Bliss | Physician Assistant | 826 N Paiute Way, Richfield, UT 84701-1849 | 2016-09-13 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORSVILLE |
| Zip Code | 84129 |
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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.