MRS. RAEANNA KIRK


Address: 11706 S 700 E, Draper, UT 84020-9365
Phone: 8019634200

MRS. RAEANNA KIRK (NPI# 1124096417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124096417
Entity Type Individual
Full Name MRS. RAEANNA KIRK
Credential RN
Practice Address 11706 S 700 E
Draper
UT 84020-9365
Practice Telephone 8019634200
Enumeration Date 2006-03-10
Last Update Date 2010-06-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0807X Registered Nurse
Specialization: Psych/Mental Health, Child & Adolescent
3082894-3102 UT Nursing Service Providers

Office Location

Street Address 11706 S 700 E
City DRAPER
State UT
Zip Code 84020-9365

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952940421 David D Borba Social Worker 11706 S 700 E, Draper, UT 84020-9365 2020-01-02
1841837457 Emily Faber Social Worker 11706 S 700 E, Draper, UT 84020-9365 2019-12-02
1568008258 Claire Frances Delise Residential Treatment Facility, Emotionally Disturbed Children 11706 S 700 E, Draper, UT 84020-9365 2019-11-18
1912165614 Gateway Academy LLC Draper Psychiatric Residential Treatment Facility 11706 S 700 E, Draper, UT 84020-9365 2008-05-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194322776 Chase Larsen Dmd Pllc Dentist 723 E 12200 S, Draper, UT 84020 2020-10-06
1780222380 Derek Cragun Counselor 11706 700 E, Draper, UT 84020 2019-12-13
1720629371 Own My Health Medical Clinic/Center 12371 900 E, Suite 102, Draper, UT 84020 2019-10-04
1508418856 Thomas Mifflin Physician Assistant 721 East 12200 South, Draper, UT 84020 2019-07-16
1124670872 Necia Dalley Registered Nurse 11800 S State St, Draper, UT 84020 2019-07-12
1285100784 Tracey M Williams Psychologist 13200 S 1601 E, Draper, UT 84020 2018-10-23
1275008328 Amoni Paeahelotu Finau Community Health Worker 13703 Wheatfield Way, Draper, UT 84020 2018-10-04
1891275525 Cynthia Mae Bolton Psychologist 1192 E Draper Parkway # 447, Draper, UT 84020 2018-08-21
1164908026 Headin' Home Inc. Community/Behavioral Health 12300 S. 150 W., Draper, UT 84020 2018-07-13
1366932576 Forest Hulet Dentist 219 E 12300, Ste I-5, Draper, UT 84020 2018-05-14
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Taxonomy Information

Taxonomy Code 163WP0807X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Child & Adolescent

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851609671 Diane Everett Registered Nurse 11491 Cranberry Hill Ct, Draper, UT 84020-8592 2010-09-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427660042 Breanna Nicole Lundquist Registered Nurse 15254 S Cavalry Ct, Bluffdale, UT 84065-4992 2020-08-17
1306201256 Denise Futrell Registered Nurse 290 E 500 S, American Fork, UT 84003-2427 2015-12-19
1770948622 Jason O Zumwalt Registered Nurse 3497 W Pawnee St, West Valley, UT 84119-5028 2015-12-19
1376908343 Michelle Larsen Registered Nurse 705 E 200 S, Pleasant Grove, UT 84062-2923 2015-12-17
1003973785 Katherine Denise Koller Registered Nurse 315 S 100 E, Provo, UT 84606-4649 2007-01-02
1780772608 Patricia Drewry Sanger Registered Nurse 1600 Pinebrook Blvd, H 9, Park City, UT 84098-8276 2006-10-10
1073609533 John W Harris Jr. Registered Nurse 497 S Colorow Way, Salt Lake City, UT 84108 2006-10-04
1659914356 Tack D Macgregor Registered Nurse 4501 N University Ave, Provo, UT 84604-5504 2019-10-25
1457994162 Timothy W Bartell Registered Nurse 4501 N University Ave, Provo, UT 84604-5504 2019-10-25
1164907317 Sharron Marie Lundeen Registered Nurse 4501 N University Ave, Provo, UT 84604-5504 2018-10-03
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Competitor

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City DRAPER
Zip Code 84020

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Dataset Information

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.

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