ALYSSA KETLER


Address: 750 N Freedom Blvd, Provo, UT 84601-1677
Phone: 8013734760

ALYSSA KETLER (NPI# 1174122683) 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) 1174122683
Entity Type Individual
Full Name ALYSSA KETLER
Practice Address 750 N Freedom Blvd
Provo
UT 84601-1677
Practice Telephone 8013734760
Practice Fax Number 8013730639
Mailing Telephone 8013734760
Mailing Fax Number 8013730639
Enumeration Date 2020-10-26
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 750 N FREEDOM BLVD
City PROVO
State UT
Zip Code 84601-1677

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679551634 Amy Buehler Social Worker 750 N Freedom Blvd, Provo, UT 84601-1677 2006-01-09
1437750270 Michael Stevenson Case Manager/Care Coordinator 750 N Freedom Blvd, Provo, UT 84601-1677 2020-11-06
1770183261 Kaitlin Buckway Case Manager/Care Coordinator 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-26
1841899465 Linda Madsen Fifita Student in an Organized Health Care Education/Training Program 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-23
1427657352 Jessica Ray Clyde Licensed Practical Nurse 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-21
1134728033 Tyra Tsosie Student in an Organized Health Care Education/Training Program 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-21
1457950529 Justin Jacobson Student in an Organized Health Care Education/Training Program 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-20
1881293264 Kurt Louis Candalot Case Manager/Care Coordinator 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-18
1265030613 Ailaina Nicole Herman Rice Student in an Organized Health Care Education/Training Program 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-16
1881292233 Samantha Jean Kyle Student in an Organized Health Care Education/Training Program 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902378417 1 Assist Care of Utah Valley LLC In Home Supportive Care 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 2018-12-21
1346723319 Mp Dental LLC Dentist 777 N. 500 W. #204, Proud, UT 84601 2018-09-14
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
1912422205 Alexandra Mcbride Specialist/Technologist 35 N 300 W #440, Provo, UT 84601 2017-08-07
1932638293 Audrey Clara Clifton Case Manager/Care Coordinator 750 North Freedom Blvd., Provo, UT 84601 2017-06-08
1528514197 Joseph Hyrum Lewis Case Manager/Care Coordinator 750 Freedom Blvd, Provo, UT 84601 2016-09-01
1629427620 Walker Clements Case Manager/Care Coordinator 750 North Freedom Blvd, Provo, UT 84601 2016-06-09
1447611595 Robert Shirley Student in an Organized Health Care Education/Training Program 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 2016-03-17
1700286283 Brelynn Downs Student in an Organized Health Care Education/Training Program 750 North Freedom Blvde, Provo, UT 84601 2014-09-03
Find all providers in zip 84601

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
Find all providers in PROVO

Competitor

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City PROVO
Zip Code 84601

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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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