COLLEEN ODONNELL


Address: 2132 N 1700 W Ste 230, Layton, UT 84041-7060
Phone: 8017733900

COLLEEN ODONNELL (NPI# 1942290804) 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) 1942290804
Entity Type Individual
Full Name COLLEEN ODONNELL
Credential P.A.
Practice Address 2132 N 1700 W Ste 230
Layton
UT 84041-7060
Mailing Address 4017 N Wolf Creek Dr
Eden
UT 84310-9894
Practice Telephone 8017733900
Practice Fax Number 8017733900
Mailing Telephone 8016906456
Enumeration Date 2005-10-24
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 007859-1 NY Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
6526009-1206 UT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02108996 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1407 N 2000 W Ste F, Clinton, UT 840158563 8017733900

Other Providers COLLEEN ODONNELL

NPI Name Taxonomy Address Enumeration
1679684203 Colleen S Odonnell Nurse Practitioner 1603 W Old Shakopee Rd, Bloomington, MN 55431-3065 2006-08-31
1164952024 Colleen Casey Odonnell Pharmacist 2181 Pelham Pkwy, Pelham, AL 35124-1119 2017-06-14

Office Location

Street Address 2132 N 1700 W STE 230
City LAYTON
State UT
Zip Code 84041-7060

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225129158 Brent Thomas Watson Orthopaedic Surgery 2132 N 1700 W Ste 230, Layton, UT 84041-7060 2006-09-27
1336128388 Dallin L Demordaunt Physical Medicine & Rehabilitation 2132 N 1700 W Ste 230, Layton, UT 84041-7060 2006-01-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700499183 Grab Healthcare, LLC Clinic/Center 245 E 2150 N, Suite C, Layton, UT 84041 2020-08-26
1154961399 Victoria Leeann Taylor Massage Therapist 716 Antelope Dr, Layton, UT 84041 2020-01-15
1184181505 Brian Taylor Woodbury Occupational Therapist 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 2019-02-21
1740756816 Jacob C Juarez Physician Assistant 2084 N. 1700 W., Suite A, Layton, UT 84041 2018-10-16
1134637945 Jodi Lynn Siri Counselor 365 W 1550 N Ste F, Layton, UT 84041 2018-01-15
1083128029 Utah Cvs Pharmacy LLC Pharmacy 50 South Fort Lane, Layton, UT 84041 2017-11-29
1376057315 Utah Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 2000 W & W 1700 S Nec, Layton, UT 84041 2017-11-29
1912411992 Live Strong House LLC Counselor 377 N. Marshall Way, Suite 1b, Layton, UT 84041 2017-11-28
1003326505 Kenneth L Ernstrom Pharmacist 2065 N Robins Drive, Layton, UT 84041 2017-10-10
1356868319 Utah Home Health and Hospice LLC Family Medicine 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 2017-08-29
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336493709 Monica L Hatch Physician Assistant 2132 N 1700 W Ste 200, Layton, UT 84041-7060 2012-11-06
1881790095 Aaron Butcher Physician Assistant 1660 W Antelope Dr Ste 225, Layton, UT 84041-1167 2006-09-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649892829 Van Martin Stonehocker Physician Assistant 755 W Center St, Orem, UT 84057-5365 2020-05-11
1366004517 Brock Bodily Physician Assistant 10623 S Redwood Rd # 101, South Jordan, UT 84095-2481 2019-07-08
1891230041 Sarah Danielle Mendenhall Physician Assistant 5169 S Cottonwood St Ste 600, Murray, UT 84107-6771 2016-12-26
1104284124 Amanda Cummings Physician Assistant 30 N 1900 E # 3b110, Salt Lake City, UT 84132-0002 2016-02-04
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1861895344 Ariel Black Physician Assistant 30 N 1900 E # 3c344, Salt Lake City, UT 84132-0002 2014-09-29
1912130311 Andrew M Strong Physician Assistant 5323 Woodrow St Ste 202, Salt Lake City, UT 84107-5848 2009-09-01
1164666061 Stephen A Loper Physician Assistant 1055 N 500 W Ste 211, Provo, UT 84604-3305 2009-04-23
1982869210 Scott D Taylor Physician Assistant 5323 Woodrow St Ste 102, Murray, UT 84107-5853 2008-07-25
1255517488 William R. Mathie Physician Assistant 1055 N 500 W Ste 121, Provo, UT 84604-3305 2008-01-17
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Competitor

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City LAYTON
Zip Code 84041

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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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