SHILOH C MANNING (NPI# 1972536001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972536001 |
| Entity Type | Individual |
| Full Name | SHILOH C MANNING |
| Credential | FNP |
| Practice Address |
5640 S 3500 W Roy UT 84067-9158 |
| Mailing Address |
1055 N 500 W Attn: Credentialing Provo UT 84604-3305 |
| Practice Telephone | 8017732838 |
| Practice Fax Number | 8017733025 |
| Mailing Telephone | 8013548225 |
| Mailing Fax Number | 8014180941 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
N29783 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3434864405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5640 S 3500 W |
| City | ROY |
| State | UT |
| Zip Code | 84067-9158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255398921 | Jeffery W Anderson | Physician Assistant | 5640 S 3500 W, Roy, UT 84067-9158 | 2006-04-27 |
| 1801448790 | Traci Michelle Allison | Nurse Practitioner | 5640 S 3500 W, Roy, UT 84067 | 2019-07-11 |
| 1396227146 | Jacob Lamar Pugh | Physician Assistant | 5640 S 3500 W, Roy, UT 84067-9158 | 2018-08-29 |
| 1699261081 | Joni Michelle Jones | Nurse Practitioner | 5640 S 3500 W, Roy, UT 84067-9158 | 2018-07-09 |
| 1144584228 | Jerrica Elizabeth Stoddard | Nurse Practitioner | 5640 S 3500 W, Roy, UT 84067-9158 | 2012-07-03 |
| 1376853036 | Micheal Shawn Dawson | Physician Assistant | 5640 S 3500 W, Roy, UT 84067-9158 | 2010-10-15 |
| 1376744433 | Darlene L Petersen | Family Medicine | 5640 S 3500 W, Roy, UT 84067-9158 | 2007-05-29 |
| 1396814778 | Lucius Nmn Gordon Jr. | Physician Assistant | 5640 S 3500 W, Roy, UT 84067-9158 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218220 | Breen Family Medicine, Pllc | Nurse Practitioner | 5991 S 3500 N, Roy, UT 84067 | 2020-06-01 |
| 1902349657 | Kelson Physician Partner's of Layton, Inc. | Pediatrics | 5286 S. 3500 W., Suite A, Roy, UT 84067 | 2016-11-29 |
| 1609258433 | Daniel Neumann | Pediatrics | 5682 S 3500 W, Roy, UT 84067 | 2015-06-29 |
| 1659641868 | Kelson Physijcian Partners of Layton, Inc | Pediatrics | 4040 South Midland Dr, Suite 2, Roy, UT 84067 | 2012-01-04 |
| 1346542834 | Midland Dental | Dentist | 4040 South Midland Drive, Suite 1, Roy, UT 84067 | 2010-12-03 |
| 1437398427 | Earl M. Cammack Jr. | Counselor | 4484 So. 1900 West, Suite 6, Roy, UT 84067 | 2009-02-13 |
| 1609086495 | Kelson Physician Partners of Layton, Inc. | Pediatrics | 5991 South 3500 West, Suite 100, Roy, UT 84067 | 2007-05-23 |
| 1396832655 | Standard Optical Co | Optometrist | 5421 S 19th W, Roy, UT 84067 | 2006-10-06 |
| 1457452864 | Paul D Hopkins Dds PC | Dentist | 4902 S 1900 W Suite 2, Roy, UT 84067 | 2006-09-26 |
| 1710085261 | Thomas R Austad | Podiatrist | 1885 West 4400 South, Roy, UT 84067 | 2006-09-20 |
| Find all providers in zip 84067 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218220 | Breen Family Medicine, Pllc | Nurse Practitioner | 5991 S 3500 N, Roy, UT 84067 | 2020-06-01 |
| 1891289427 | Shannon Walker | Nurse Practitioner | 3039 W 4375 S, Roy, UT 84067-9521 | 2018-06-18 |
| 1275134132 | Brandy Marie Family & Aesthetic Care | Nurse Practitioner | 5991 S 3500 W, Roy, UT 84067-6701 | 2020-11-05 |
| 1801448790 | Traci Michelle Allison | Nurse Practitioner | 5640 S 3500 W, Roy, UT 84067 | 2019-07-11 |
| 1588025969 | Jill Woodring | Nurse Practitioner | 3443 W 5600 S, Roy, UT 84067-9103 | 2016-03-14 |
| 1144584228 | Jerrica Elizabeth Stoddard | Nurse Practitioner | 5640 S 3500 W, Roy, UT 84067-9158 | 2012-07-03 |
| 1790047157 | Chase Bailey | Nurse Practitioner | 3485 W 5200 S, Roy, UT 84067-9438 | 2012-06-12 |
| 1508154931 | Mary M Laumbach | Nurse Practitioner | 555 Wagon Mound Highway, Roy, NM 87743 | 2011-07-19 |
| 1790088797 | Kayleen Hall Wilson | Nurse Practitioner | 3485 W 5200 S, Roy, UT 84067-9438 | 2010-12-13 |
| 1285818898 | Kimberly Ann Greaves | Nurse Practitioner | 1915 W 5950 S, Roy, UT 84067-1454 | 2007-12-19 |
| Find all providers in ROY | ||||
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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.