JEANETTE C HEPBURN (NPI# 1922246487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922246487 |
| Entity Type | Individual |
| Full Name | JEANETTE C HEPBURN |
| Other Name | JEANETTE C SMILEY |
| Credential | APRN |
| Practice Address |
286 N Gateway Dr Providence UT 84332-9733 |
| Practice Telephone | 4357559174 |
| Practice Fax Number | 4357559148 |
| Mailing Telephone | 4357559174 |
| Mailing Fax Number | 4357559148 |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0329116-1204 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | D5945 | 05 |
| Street Address |
286 N GATEWAY DR |
| City | PROVIDENCE |
| State | UT |
| Zip Code | 84332-9733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508943135 | Primrose Home Care Inc. | Home Health | 286 N Gateway Dr, Ste 101, Providence, UT 84332-5602 | 2006-11-01 |
| 1255520037 | Idaho Pain Center and Anesthesia PC | Pain Medicine | 286 N Gateway Dr, Providence, UT 84332-9733 | 2007-10-17 |
| 1487863353 | Mount Ogden Pain Medical Center | Pain Medicine | 286 N Gateway Dr, Ste A, Providence, UT 84332-9733 | 2007-05-21 |
| 1215057955 | Intermountain Spine and Pain Center | Clinic/Center | 286 N Gateway Dr, Providence, UT 84332-9733 | 2007-03-29 |
| 1891841482 | Primrose Hospice Inc. | Hospice Care, Community Based | 286 N Gateway Dr, Ste 101, Providence, UT 84332-5602 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
| 1962049932 | Wholelife Family Wellness Clinic of Providence Pllc | Counselor | 169 N Gateway Dr. Suite 170, Providence, UT 84332 | 2019-12-09 |
| 1033503420 | Spring Creek Surgical Center, LLC | Clinic/Center | 65 North Gateway Drive, Suite 3, Providence, UT 84332 | 2015-03-24 |
| 1558751438 | Naturopathic Medical, P.C. | Naturopath | 565 W. 465 N., Suite 150, Providence, UT 84332 | 2015-01-29 |
| 1821421710 | Erin Campbell | Physical Therapist | 267 West Spring Creek Parkway, Providence, UT 84332 | 2013-08-14 |
| 1285981530 | Jordan Joseph Hansen | Dentist | 169 N Gateway Drive, Suite 200, Providence, UT 84332 | 2012-08-06 |
| 1598086720 | Cory B Maughan | Dermatology | 169 N Gateway Dr Ste 100, Providence, UT 84332 | 2010-06-22 |
| 1528299245 | South Valley Eyecare Center, Inc. | Optometrist | 276 Springcreek Pkwy, Providence, UT 84332 | 2009-07-29 |
| 1316134356 | Heather Saxton Maughan | Speech-Language Pathologist | 344 E Edgehill Dr, Providence, UT 84332 | 2007-10-03 |
| 1902021538 | Brad L Thomas | Physical Therapist | 169 Spring Creek Park Way, Suite 140, Providnce, UT 84332 | 2007-04-17 |
| Find all providers in zip 84332 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839848 | Christine Terhune | Nurse Practitioner | 16 Grotto Ave Apt 4, Providence, RI 02906-5523 | 2020-04-11 |
| 1841502804 | Diane Jean Smith | Nurse Practitioner | 280 Melrose St., Name: Concentra, Providence, RI 02901 | 2010-07-07 |
| 1033209895 | Stacy Ramsey | Nurse Practitioner | 111 Point Street, Providence, RI 02940-1142 | 2006-10-13 |
| 1003821869 | Jennifer R Ouellette | Nurse Practitioner | Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 | 2006-07-30 |
| 1619981529 | June M Fischer | Nurse Practitioner | 595 Eddy Street, Providence, RI 02901 | 2006-07-28 |
| 1154365054 | Cynthia J Buckley | Nurse Practitioner | Providence College Student Health Services, 549 River Ave, Providence, RI 02918-0001 | 2006-06-15 |
| 1902877178 | Christine B Butler | Nurse Practitioner | 845 N Main St, Suite 1, Providence, RI 02904-5700 | 2006-01-27 |
| 1447221668 | Jacqueline M Joubert | Nurse Practitioner | 195 Collyer St Ste 201, Providence, RI 02904-1869 | 2006-01-27 |
| 1578552030 | Elaine A Forbes | Nurse Practitioner | 9 Pleasant St, Medicine Associates, Providence, RI 02906 | 2005-10-18 |
| 1649267345 | Elizabeth Canino | Nurse Practitioner | 225 Chapman St, Providence, RI 02905-4533 | 2005-09-29 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 84332 |
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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.