JACQUELINE ANDERSON MD
NPI 1053108332
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Active since April 22, 2025
127 S 500 E STE 220, SALT LAKE CITY, UT 84102(801) 581-2401 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Anderson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE ANDERSON MD (NPI 1053108332) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1053108332
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELINE ANDERSONCredential: MD
Location Address127 S 500 E STE 220Salt Lake City, UT 84102-1982
Mailing Address127 S 500 E Ste 220Salt Lake City, UT 84102-1982
Sole ProprietorNo
Enumeration DateApril 22, 2025
NPPES CertifiedApril 21, 2025
NPI 1053108332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

127 S 500 E STE 220, Salt Lake City, UT 84102

Other Names 1

Former Name (1)Jacqueline Kunzelman

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
127 S 500 E STE 220
SALT LAKE CITY, UT 84102
Student in an Organized Health Care Education/Training Program
127 S 500 E STE 220
SALT LAKE CITY, UT 84102
Student in an Organized Health Care Education/Training Program
127 S 500 E STE 220
SALT LAKE CITY, UT 84102
Student in an Organized Health Care Education/Training Program
127 S 500 E STE 220
SALT LAKE CITY, UT 84102
Student in an Organized Health Care Education/Training Program
127 S 500 E STE 220
SALT LAKE CITY, UT 84102
Student in an Organized Health Care Education/Training Program
127 S 500 E STE 220
SALT LAKE CITY, UT 84102
Student in an Organized Health Care Education/Training Program
127 S 500 E STE 220
SALT LAKE CITY, UT 84102
Student in an Organized Health Care Education/Training Program
127 S 500 E STE 220
SALT LAKE CITY, UT 84102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Anderson's NPI number?

The NPI number for Jacqueline Anderson is 1053108332. It was assigned to this individual provider in the NPPES registry on April 22, 2025. The provider is also known as Jacqueline Kunzelman.

Where is Jacqueline Anderson located?

Jacqueline Anderson practices at 127 S 500 E Ste 220, Salt Lake City, UT 84102. The listed phone number is (801) 581-2401.

What is Jacqueline Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Anderson was last updated on April 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.