AMANDA ALVISO (NPI# 1245795947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245795947 |
Entity Type | Individual |
Full Name | AMANDA ALVISO |
Practice Address |
697 W 4170 S Murray UT 84123-1326 |
Practice Telephone | 8013639400 |
Enumeration Date | 2019-02-06 |
Last Update Date | 2019-02-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
697 W 4170 S |
City | MURRAY |
State | UT |
Zip Code | 84123-1326 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710597992 | Dianna Sivels | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-08-03 |
1275143448 | Alma Mancera | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-08-03 |
1235750589 | Aleya Marie Mason | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-04-28 |
1881214575 | Sierra Holmes | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-04-22 |
1609408582 | Jessica Wade | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-02-07 |
1013549997 | Sakina Wilson | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-02-07 |
1730711615 | Sierra Barrickman | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-02-07 |
1396377370 | Dana Schankman | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-02-07 |
1346872223 | Samantha Jones | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2020-02-07 |
1043861958 | Katelynne Rose Halliday | Community Health Worker | 697 W 4170 S, Murray, UT 84123-1326 | 2019-09-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
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Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811553019 | Nathanael Lawrence Beall | Peer Specialist | 32 W Winchester St, Murray, UT 84107-5607 | 2019-05-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043819600 | Devin J Morrison | Peer Specialist | 230 W 200 S Unit 142, Salt Lake City, UT 84110-6006 | 2020-10-23 |
1104423532 | Chante Colvin | Peer Specialist | 3638 Sugar Leo Rd, St George, UT 84790-7452 | 2020-10-08 |
1518579077 | Henry Matthews | Peer Specialist | 474 N Grant St, Salt Lake City, UT 84116-2726 | 2020-08-17 |
1508497892 | Jamie Len Griffin | Peer Specialist | 256 W 100 S, Logan, UT 84321-5231 | 2020-01-27 |
1295370013 | Amber Chandler | Peer Specialist | 15257 S Scenic Crest Cir, Bluffdale, UT 84065-5076 | 2019-11-15 |
1780232272 | Billie Jo Burnett | Peer Specialist | 1429 N 1200 W, Orem, UT 84057-2449 | 2019-08-28 |
1669025227 | Ryan Ballard | Peer Specialist | 589 E 8680 S, Sandy, UT 84070-1779 | 2019-07-22 |
1134780042 | Michael James Olsen | Peer Specialist | 344 E 100 S Ste 301300, Salt Lake City, UT 84111-1700 | 2019-06-23 |
1659836393 | Brittney Emi Vaovasa | Peer Specialist | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2019-02-06 |
1699278366 | John Carlos Gonzales | Peer Specialist | 7873 S Chadbourne Dr, Cottonwood Heights, UT 84121-5806 | 2018-03-08 |
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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.