CECILY LIGHT (NPI# 1902112600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902112600 |
| Entity Type | Individual |
| Full Name | CECILY LIGHT |
| Credential | APRN |
| Practice Address |
1167 Bryan Ave Salt Lake City UT 84105-2507 |
| Practice Telephone | 8014860567 |
| Mailing Telephone | 8014860567 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
2205194405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1167 BRYAN AVE |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84105-2507 |
| 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 | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659726511 | Erin Johnson Cole | Nurse Practitioner | 10 S 2000 E # Slc, Salt Lake City, UT 84112-5880 | 2016-04-28 |
| 1386063048 | Vennie Ying | Nurse Practitioner | 3090 E 3300 S Ste 100, Salt Lake City, UT 84109-2106 | 2014-04-10 |
| 1619160280 | Holly Danielle Stewart | Nurse Practitioner | 348 E 4500 S Ste 200, Salt Lake City, UT 84107-3936 | 2007-08-27 |
| 1477542363 | Kathleen Ann Burke | Nurse Practitioner | 654 S 900 E, Salt Lake City, UT 84102-3478 | 2005-10-14 |
| 1467062570 | Adrianne F Shewell | Nurse Practitioner | 654 S 900 E, Salt Lake City, UT 84102-3430 | 2020-08-04 |
| 1891341574 | Aurelia Renee Wann | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2019-08-17 |
| 1093239428 | Molly Walker Beck | Nurse Practitioner | 675 S Arapeen Dr, Salt Lake City, UT 84108-1223 | 2017-07-27 |
| 1689007155 | Sharlene K Watson | Nurse Practitioner | 1053 E 2100 S, Salt Lake City, UT 84106-2349 | 2013-08-19 |
| 1033410394 | Kirsti Rinne | Nurse Practitioner | 654 S 900 E, Salt Lake City, UT 84102-3478 | 2010-11-03 |
| 1275842783 | Haley Miyatake Summerhays | Nurse Practitioner | 24 S 1100 E, Ste 2009, Salt Lake City, UT 84102-1500 | 2010-09-30 |
| 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.