MRS. LAURIE CHILDS (NPI# 1235355819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235355819 |
| Entity Type | Individual |
| Full Name | MRS. LAURIE CHILDS |
| Credential | PA-C |
| Practice Address |
12340 S 450 E Draper UT 84020-8154 |
| Practice Telephone | 8015019797 |
| Mailing Telephone | 8015019797 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2017-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
6492794-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12340 S 450 E |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-8154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992779185 | Amy B. Killen | Emergency Medicine | 12340 S 450 E, Draper, UT 84020-8154 | 2006-02-14 |
| 1528621752 | Ashlee Williams | Nurse Practitioner | 12340 S 450 E, Draper, UT 84020-8154 | 2019-04-14 |
| 1902286297 | Biorestoration Medical | Family Medicine | 12340 S 450 E, Draper, UT 84020-8154 | 2015-06-02 |
| 1013312339 | Nicole Kelly | Physician Assistant | 12340 S 450 E, Draper, UT 84020-8154 | 2014-10-29 |
| 1215254529 | Emily S Smith | Physician Assistant | 12340 S 450 E, Draper, UT 84020-8154 | 2010-04-26 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780982629 | Raymond Gene Merrill | Physician Assistant | 14425 Bitterbrush Lane, Draper, UT 84020 | 2011-03-02 |
| 1427234517 | Gary James Mckay | Physician Assistant | 12953 Minuteman Dr, Draper, UT 84020-9286 | 2008-01-18 |
| 1952885568 | Eric Cielinski | Physician Assistant | 14425 S Bitterbrush Ln, Draper, UT 84020-9501 | 2018-09-19 |
| 1285151662 | Angela Marie Banz | Physician Assistant | 13953 S Bangerter Pkwy, Draper, UT 84020-5429 | 2017-08-25 |
| 1932656386 | Todd Gay | Physician Assistant | 14425 S Bitterbrush Ln, Draper, UT 84020-9501 | 2016-09-01 |
| 1124461926 | Chad Michael Duford | Physician Assistant | 14425 S Bitterbrush Ln, Draper, UT 84020-9501 | 2013-04-10 |
| 1215254529 | Emily S Smith | Physician Assistant | 12340 S 450 E, Draper, UT 84020-8154 | 2010-04-26 |
| 1639299282 | Gabriel James Sermon | Physician Assistant | 212 E 12300 S, Draper, UT 84020-8184 | 2007-03-29 |
| 1447329164 | Patrick Barnes | Physician Assistant | 96 E Kimballs Ln Ste 207, Draper, UT 84020-5021 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
| 1437702875 | Jennica Marie Van Blerkom | Physician Assistant | 4755 S Wallace Ln, Holladay, UT 84117-6458 | 2019-07-23 |
| 1124599873 | Tcfh Lc | Physician Assistant | 9777 N 5520 W, Highland, UT 84003-9130 | 2018-12-06 |
| 1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
| 1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
| 1215446919 | Richard L Mittan | Physician Assistant | 65 E 6850 S, Midvale, UT 84047-1215 | 2017-09-25 |
| 1710416649 | Brian Adams | Physician Assistant | 1308 E 900 S # C, St George, UT 84790-8520 | 2017-06-05 |
| 1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
| 1396289799 | Jefferson M Allen | Physician Assistant | 356 W 840 S, Orem, UT 84058-6778 | 2016-12-05 |
| 1609324151 | Colby Bliss | Physician Assistant | 826 N Paiute Way, Richfield, UT 84701-1849 | 2016-09-13 |
| 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.