Judith Harris, CERTIFIED DIETITIAN is a
Specialist based in Salt Lake City, Utah. Judith Harris is licensed to practice in Utah (license number 325403-4901) and her current practice location is
288 N 1460 W, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 538-6122.
NPI number for Judith Harris is 1295945343 and her current mailing address is 3621 W 4375 S, West Haven, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295945343.
Healthcare Provider's Profile
Full Name | Judith Harris |
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Gender | Female |
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Speciality | Specialist |
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Location | 288 N 1460 W, Salt Lake City, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295945343
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Judith Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295945343 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 325403-4901 (Utah) | Primary |
174400000X | Specialist | 325403-4901 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Judith Harris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Judith Harris, CERTIFIED DIETITIAN 3621 W 4375 S, West Haven, UT 84401-9695 Ph: (801) 791-9252 | Judith Harris, CERTIFIED DIETITIAN 288 N 1460 W, Salt Lake City, UT 84116-3231 Ph: (801) 538-6122 |
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