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).
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 |
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 |
Street Address |
11706 S 700 E |
City | DRAPER |
State | UT |
Zip Code | 84020-9365 |
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 |
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 |
Find all providers in zip 84020 |
Taxonomy Code | 163WP0807X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Child & Adolescent |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851609671 | Diane Everett | Registered Nurse | 11491 Cranberry Hill Ct, Draper, UT 84020-8592 | 2010-09-14 |
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 |
Find all providers with the same taxonomy |
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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.