JARED LYNN KUMMER (NPI# 1033447412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033447412 |
Entity Type | Individual |
Full Name | JARED LYNN KUMMER |
Practice Address |
463 S. Lake Powell Blvd Page AZ 86040-0790 |
Mailing Address |
Po Box 410194 Big Water UT 84741-2194 |
Practice Telephone | 9286455113 |
Mailing Telephone | 9286455113 |
Enumeration Date | 2009-11-24 |
Last Update Date | 2009-11-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LMSW-12878 | AZ | Behavioral Health & Social Service Providers |
Street Address |
463 S. LAKE POWELL BLVD |
City | PAGE |
State | AZ |
Zip Code | 86040-0790 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760453054 | Encompass Health Services Incorporated | Preferred Provider Organization | 463 S. Lake Powell Blvd, Page, AZ 86040 | 2006-01-27 |
1598202939 | Kae Rehma | Counselor | 463 S. Lake Powell Blvd, Page, AZ 86040-0790 | 2017-01-24 |
1376832469 | Encompass Health Services Incorporated | Community/Behavioral Health | 463 S. Lake Powell Blvd, Page, AZ 86040-0790 | 2011-03-30 |
1144319666 | John Valvo | Counselor | 463 S. Lake Powell Blvd, Page, AZ 86040-0790 | 2006-10-12 |
1952330656 | Brent E Case | Counselor | 463 S. Lake Powell Blvd, Page, AZ 86040-0790 | 2006-07-03 |
1164470100 | Perry Pullins | Counselor | 463 S. Lake Powell Blvd, Page, AZ 86040 | 2006-05-04 |
1962468678 | Cresfield Winslow Moody | Nurse Practitioner | 463 S. Lake Powell Blvd, Page, AZ 86040-0790 | 2006-04-21 |
1275598682 | Beverly Jean Horton | Counselor | 463 S. Lake Powell Blvd, Page, AZ 86040 | 2006-04-19 |
1871558361 | Ronald Grant Macdonald Jr. | Counselor | 463 S. Lake Powell Blvd, Page, AZ 86040-0790 | 2006-04-19 |
1538130109 | David Hipkin | Family Medicine | 463 S. Lake Powell Blvd, Page, AZ 86040-0790 | 2006-01-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881251437 | Amy Jean Snell | Nurse Practitioner | 501 N. Navajo Dr., Page, AZ 86040 | 2019-05-20 |
1740748441 | Cameron Sidney Shick | Pharmacist | 501 N Navajo Drive, Page, AZ 86040 | 2019-03-12 |
1891250338 | Samantha Elizabeth Cannavo | Specialist/Technologist | 1801 N Navajo Dr., Page, AZ 86040 | 2019-02-08 |
1023593282 | Sally Ann Breen | Nurse Practitioner | 440 N Navajo Drive, Page, AZ 86040 | 2018-10-03 |
1114447653 | Naquita Ahern | Physical Therapist | 501 N Navajo Rd, Page, AZ 86040 | 2017-06-26 |
1396270443 | Peter Richard Jones | Physical Therapy Assistant | 43 Sixth Ave, Page, AZ 86040 | 2017-04-26 |
1407392590 | Lake Powell Dental Center, PC | Dentist | 436 Vista Avenue, Box 1956, Page, AZ 86040 | 2017-01-12 |
1992257695 | Theodore Martin | Physical Therapist | 39 6th Avenue, Page, AZ 86040 | 2016-10-28 |
1750833539 | Jacqueline Joyce Muthanga Kigundu | Nurse Practitioner | 440 North Navajo Dr, Page, AZ 86040 | 2016-10-27 |
1821540899 | George Wertz | Physical Therapist | 39 6th Ave, Page, AZ 86040 | 2016-10-26 |
Find all providers in zip 86040 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952330656 | Brent E Case | Counselor | 463 S. Lake Powell Blvd, Page, AZ 86040-0790 | 2006-07-03 |
1164470100 | Perry Pullins | Counselor | 463 S. Lake Powell Blvd, Page, AZ 86040 | 2006-05-04 |
1275598682 | Beverly Jean Horton | Counselor | 463 S. Lake Powell Blvd, Page, AZ 86040 | 2006-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710588967 | Suzanne Basco | Counselor | 27072 N 175th Dr, Surprise, AZ 85387-1094 | 2020-11-04 |
1568063154 | Cleshaun A Dubose | Counselor | 6344 E Brown Rd Ste 104, Mesa, AZ 85205-4843 | 2020-11-02 |
1730789694 | Maryann Potter | Counselor | 4315 W Faull Dr, New River, AZ 85087-4908 | 2020-10-29 |
1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
1417557729 | Psychological and Consulting Services LLC | Counselor | 331 N 1st Ave Ste 102, Phoenix, AZ 85003-4528 | 2020-10-27 |
1154928059 | Jennifer Thompson | Counselor | 1310 W Stottler Dr, Chandler, AZ 85224-2716 | 2020-10-04 |
1235736208 | Yovana Apodaca | Counselor | 8758 E Mountain Spring Dr, Tucson, AZ 85747-5659 | 2020-10-02 |
1639785751 | Andre E Matthews | Counselor | 12600 N 113th Ave Ste B8, Youngtown, AZ 85363-1163 | 2020-09-23 |
1497361786 | Patricia L Pritchett | Counselor | 8893 N Lessing Ct, Tucson, AZ 85742-4443 | 2020-09-22 |
1861008203 | Entelechy Holdings | Counselor | 2383 E Springfield Pl, Chandler, AZ 85286-1206 | 2020-09-21 |
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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.