LESLIE COOPER (NPI# 1114343019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114343019 |
Entity Type | Individual |
Full Name | LESLIE COOPER |
Practice Address |
1726 Buckley Ln Provo UT 84606-5031 |
Practice Telephone | 8013736562 |
Practice Fax Number | 8013759225 |
Mailing Telephone | 8013736562 |
Mailing Fax Number | 8013759225 |
Enumeration Date | 2014-03-16 |
Last Update Date | 2014-03-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891124251 | Leslie Ann Cooper | Social Worker | 316 Cleveland Avenue, Cincinnati, OH 45246 | 2013-11-06 |
1033322896 | Leslie Muir Cooper | Psychologist | 5635 Waterbury Way, Suite 202, Salt Lake City, UT 84121-1184 | 2007-05-08 |
1023122611 | Leslie W Cooper | Family Medicine | 420 E South Temple Ste 515, Salt Lake City, UT 84111-1380 | 2006-08-19 |
1174594865 | Leslie Jo Cooper | Nurse Practitioner | 302 West Main St, Warsaw, KY 41095 | 2006-01-30 |
1659362606 | Leslie Cooper | Psychologist | 6900 Georgia Ave., N.w., Ward 55, Washington, DC 20307-0001 | 2005-10-31 |
1841805686 | Leslie Ann Cooper | Physician Assistant | 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800 | 2020-09-09 |
1538667498 | Leslie Cooper | Internal Medicine | 4501 Empire Ct, Fredericksburg, VA 22408-1949 | 2018-01-25 |
1427508084 | Leslie M Cooper | Social Worker | 427 W Eads Pkwy, Lawrenceburg, IN 47025-1139 | 2016-10-07 |
1043520927 | Leslie Cooper | Nurse Practitioner | 260 N Little Tor Rd, New City, NY 10956 | 2010-10-13 |
1114122892 | Leslie Cooper | Occupational Therapist | 2412 Greatstone Pt, Lexington, KY 40504-3274 | 2007-06-20 |
Street Address |
1726 BUCKLEY LN |
City | PROVO |
State | UT |
Zip Code | 84606-5031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528171493 | House of Hope | Substance Abuse Rehabilitation Facility | 1726 Buckley Ln, Provo, UT 84606-5031 | 2006-08-16 |
1154920353 | Brooke Arledge | Social Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-10-20 |
1932712981 | Brittany Phillips | Social Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-08-28 |
1184255275 | Joey Payne | Counselor | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-28 |
1285264556 | Maycin Quiterio | Community Health Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-24 |
1710517081 | Amy Franco | Community Health Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-24 |
1972133684 | Hillary Gentillon | Community Health Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-22 |
1518597111 | Sophie Mcklane Swenson | Community Health Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-22 |
1003446600 | Caylin Louise Lefevre | Community Health Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-22 |
1366082729 | Crystal Bettis | Social Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
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Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710444559 | Kimberlee Hughes | Case Manager/Care Coordinator | 750 N Freedom Blvd Ste 123, Provo, UT 84601-1677 | 2019-02-28 |
1174088132 | Jennifer Tecson Narra | Case Manager/Care Coordinator | 655 E 600 N Apt 2, Provo, UT 84606-6945 | 2019-02-04 |
1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
1447792015 | Emmanuela Bailey | Case Manager/Care Coordinator | 750 N Freedom Blvd # 200w, Provo, UT 84601-1677 | 2016-11-13 |
1073060091 | Kara Traasdahl | Case Manager/Care Coordinator | 189 Wymount Ter, Provo, UT 84604-1934 | 2016-09-07 |
1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
1437500691 | Nathan David Astle | Case Manager/Care Coordinator | 1092 E 360 S, Provo, UT 84606-5222 | 2016-06-28 |
1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
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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.