JESSICA G. CRUTTENDEN – NPI #1346822913
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

JESSICA CRUTTENDEN is a radiologist located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1346822913 to JESSICA CRUTTENDEN on April 23, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name JESSICA STAUBER. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 4 years ago on Aug 10, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSICA CRUTTENDEN below.

NPI Profile for
JESSICA G. CRUTTENDEN

NPI Number
1346822913
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JESSICA G. CRUTTENDEN
Former Name: JESSICA STAUBER
Primary location
1950 CIRCLE OF HOPE DR RM 1570
SALT LAKE CITY, UT 84112-5500
Phone: (801) 581-5498 Fax:
1 Other location(s):
5121 S Cottonwood St
Murray, UT 84107-5701
Phone: (801) 507-7000
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 10, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)
UT 12974655-1205

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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