MEDICARE: JENNY ANN PEDERSEN M.S. CCC-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	6968867-4101	UT

General Provider Information

NPI Number	:	1497912190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY ANN PEDERSEN M.S. CCC-A

Provider Business Mailing Address
First Line	:	PO BOX 142001
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84114-2001
Country	:	US
Telephone Number	:	801-538-9103
Fax Number	:	801-538-6591

Provider Business Practice Location Address
First Line	:	44 N. MARIO CAPECCHI DR.
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84114
Country	:	US
Telephone Number	:	801-584-8215
Fax Number	:	801-584-8492

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2008
Last Update Date	:	12/19/2012

Similar Medicare Providers

1699878942 — STATE OF UTAH
Practice Location Address:

44 N MARIO CAPPECI DRIVE
SALT LAKE CITY, UT
84114

Practice Phone: 801-584-8239
Practice Fax:

1437252491 — STATE OF UTAH, DEPARTMENT OF HEALTH
Practice Location Address:

SALT LAKE CLINIC - FAMILY DENTAL PLAN , 3195 SOUTH MAIN STREET, SUITE 200
SALT LAKE CITY, UT
84114

Practice Phone: 801-468-0342
Practice Fax:

1225131279 — DR. BLAIR LAMAR BYBEE M.D.
Practice Location Address:

44 N MEDIAL DRIVE , UTAH DEPARTMENT OF HEALTH
SALT LAKE CITY, UT
84114-4630

Practice Phone: 801-584-8246
Practice Fax:

1952547408 — MRS. MARITZA SILVA ARCE-LARRETA APRN, MSN, RN
Practice Location Address:

288 N 1460 W
SALT LAKE CITY, UT
84114-2107

Practice Phone: 801-538-6990
Practice Fax: 801-538-9495

1265739551 — MS. NOEL KAY CAMERON SSW
Practice Location Address:

2001 S. STATE SUITE S1500 , SALT LAKE COUNTY AGING AND ADULT SERVICES
SALT LAKE CITY, UT
84114-4575

Practice Phone: 385-468-3291
Practice Fax: 385-468-3264

1649605601 — NATALIE HOLT ALLEN FNP-BC
Practice Location Address:

44 N MARIO CAPECCHI DR.
SALT LAKE CITY, UT
84114

Practice Phone: 801-584-8246
Practice Fax:

Directions to “ JENNY ANN PEDERSEN M.S. CCC-A” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.